Organization
FIVE STAR ADULT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SASON HAIMOV FUZAILOV (PRESIDENT)
(347) 209-8282
Entity
Organization
Contact information
Practice address
3420 2ND ST, OCEANSIDE, NY 11572-5204
(347) 209-8282
Mailing address
3420 2ND ST, OCEANSIDE, NY 11572-5204
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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