Organization
ALL STARS ADULT SOCIAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIDGET BERAN (CEO)
(347) 245-9163
Entity
Organization
Contact information
Practice address
11024 SUTPHIN BLVD, JAMAICA, NY 11435-5716
(917) 213-4846
Mailing address
11024 SUTPHIN BLVD, JAMAICA, NY 11435-5716
(917) 213-4846
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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