Organization
GRACE ADULT DAYCARE-MULTISERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MACKENSDY DORMEUS (OWNER)
(917) 392-6930
Entity
Organization
Contact information
Practice address
19011 LINDEN BLVD, SAINT ALBANS, NY 11412-3346
(929) 433-0054
(929) 433-0055
Mailing address
PO BOX 110614, CAMBRIA HEIGHTS, NY 11411-0614
(917) 392-6930
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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