Organization
EVERGREEN SENIOR DAYCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEI GUO (DIRECTOR)
(917) 288-9878
Entity
Organization
Contact information
Practice address
949 59TH ST, BROOKLYN, NY 11219-4810
(917) 288-9878
Mailing address
949 59TH ST, BROOKLYN, NY 11219-4810
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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