Organization
DAUGHTERS OF JACOB ADULT DAY CARE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERT MANUEL PREIRA (EXECUTIVE DIRECTOR)
(718) 293-1500
Entity
Organization
Contact information
Practice address
1160 TELLER AVE, BRONX, NY 10456-4145
(718) 293-1500
(718) 992-7074
Mailing address
1160 TELLER AVE, BRONX, NY 10456-4145
(718) 293-1500
(718) 992-7074
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
7000342N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01164130
—
NY
Enumeration date
01/30/2007
Last updated
08/22/2020
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