Organization
LIBERTY ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURINDRA PRASAD (DIRECTOR)
(860) 997-5863
Entity
Organization
Contact information
Practice address
12009 LIBERTY AVE, 2ND FLOOR, SOUTH RICHMOND HILL, NY 11419-2117
(860) 997-5863
Mailing address
12009 LIBERTY AVE, 2ND FLOOR, SOUTH RICHMOND HILL, NY 11419-2117
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
NY
Other
Enumeration date
01/13/2013
Last updated
01/13/2013
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