Organization
EDEN ADULT DAY CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA VASQUEZ (PRESIDENT)
(718) 651-5700
Entity
Organization
Contact information
Practice address
100-05 ROOSVELT AVENUE, CORONA, NY 11368
(718) 651-5700
(718) 732-2538
Mailing address
100-05 ROOSVELT AVENUE, CORONA, NY 11368
(718) 651-5700
(718) 732-2538
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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