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Organization

MINNIE MAE SOCIAL ADULT DAY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA MILLS LMSW, CASAC (DIRECTOR)
(347) 556-5188
Entity
Organization

Contact information

Practice address
301 S FULTON AVE, MOUNT VERNON, NY 10553
(914) 292-1064
(914) 863-2070
Mailing address
296 WARREN ST, BROOKLYN, NY 11201-6590
(347) 556-5188

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
02/06/2018
Last updated
06/21/2018
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