Organization
SI ADULT DAY CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANG OUM (OWNER)
(718) 227-8266
Entity
Organization
Contact information
Practice address
2015 FOREST AVE, STATEN ISLAND, NY 10303-1725
(718) 227-8266
Mailing address
2015 FOREST AVE, STATEN ISLAND, NY 10303-1725
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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