Organization
EVERGREEN ADULT DAY CARE IN NY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HYUN JONG ICOO (PRESIDENT)
(718) 321-2112
Entity
Organization
Contact information
Practice address
144-74 NORTHERN BLVD, 2 FL., FLUSHING, NY 11354
(718) 321-2112
(718) 925-4105
Mailing address
144-74 NORTHERN BLVD, 2 FL., FLUSHING, NY 11354
(718) 321-2112
(718) 925-4105
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
07/29/2022
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