Organization
DAVIS SOCIAL ADULT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN EDWARD DAVIS III (CEO/ DIRECTOR)
(718) 455-3600
Entity
Organization
Contact information
Practice address
1349 BROADWAY FL 3, BROOKLYN, NY 11221-3618
(718) 455-3600
(718) 455-3601
Mailing address
1349 BROADWAY FL 3, BROOKLYN, NY 11221-3618
(718) 455-3600
(718) 455-3601
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
1865
NY
251B00000X
Case Management Agency
—
NY
253Z00000X
In Home Supportive Care Agency
—
NY
261QA0600X
Adult Day Care Clinic/Center
Primary
—
NY
347C00000X
Private Vehicle
—
NY
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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