Organization
KIDS SPROUTS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA ACOSTA (PRESIDENT)
(917) 848-6575
Entity
Organization
Contact information
Practice address
34 HOWARD AVE, FREEPORT, NY 11520-6250
(917) 848-6575
Mailing address
34 HOWARD AVE, FREEPORT, NY 11520-6250
(917) 848-6575
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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