Organization Name: | QUEENS HERALD COMMUNITY CORPORATION |
NPI Number: | 1043560717 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH LOO (EXECUTIVE DIRECTOR) |
Mailing Address: | 6515 164th St Fresh Meadows |
State: | NY US |
Postal Code: | 113652651 |
Phone Number: | 6463896418 |
Fax Number: | 6463492318 |
NPI Enumeration Date: | 09/10/2012 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |