Organization
WONDERFUL SENIOR PROGRAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZHONG REN LIU (OWNER)
(929) 202-3377
Entity
Organization
Contact information
Practice address
13419 BLOSSOM AVE FL 1, FLUSHING, NY 11355-4893
(929) 202-3377
(347) 246-0478
Mailing address
13419 BLOSSOM AVE, FLUSHING, NY 11355-4893
(929) 202-3377
(347) 246-0478
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/30/2023
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