Organization
INTERVAL SOCIAL ADULT DAY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN A EDWARDS (PRESIDENT)
(718) 659-0336
Entity
Organization
Contact information
Practice address
14012 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11436-1416
(718) 659-0336
(718) 712-2632
Mailing address
14012 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11436-1416
(718) 659-0336
(718) 712-2632
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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