Organization
DIVINE LIVING ADULT DAYCARE CENTER, INC.
Active
Organization
DIVINE LIVING ADULT DAYCARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FIELDS JR. (OWNER)
(917) 501-9553
Entity
Organization
Contact information
Practice address
26 MALCOLM X BLVD, BROOKLYN, NY 11221-2349
(917) 501-9553
Mailing address
198 E 57TH ST, BROOKLYN, NY 11203-4708
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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