Organization
CORONA COMMUNITY SENIOR CENTER INC.
Active
Organization
CORONA COMMUNITY SENIOR CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINLAN LU (MANAGER)
(929) 253-6668
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
(718) 271-1678
(718) 271-6478
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
06/18/2026
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