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Organization

CORONA COMMUNITY SENIOR CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JINLAN LU (MANAGER)
(929) 575-0958
Entity
Organization

Contact information

Practice address
10802 OTIS AVE, CORONA, NY 11368-3914
(929) 575-0958
(718) 271-6478
Mailing address
5515 VAN CLEEF ST, CORONA, NY 11368-3907
(929) 575-0958

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
11/29/2023
Last updated
11/29/2023
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