Organization Name: | SILVER TOWN ADULT DAY CARE CENTER, INC |
NPI Number: | 1114204401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YONG LEE (PRESIDENT) |
Mailing Address: | 25021 Northern Blvd Little Neck |
State: | NY US |
Postal Code: | 113621353 |
Phone Number: | 7186317979 |
Fax Number: | 7186311017 |
NPI Enumeration Date: | 11/15/2011 |
NPI Last Update Date: | 11/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |