Organization
BLACK LOTUS
Active
Other names
BAHA ADULT SOCIAL DAY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ANITRA BELL (CEO)
(347) 494-0207
Entity
Organization
Contact information
Practice address
317 CLERMONT AVE, BROOKLYN, NY 11205-4605
(347) 494-0207
Mailing address
1241 E 104TH ST, BROOKLYN, NY 11236-4505
(347) 494-0207
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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