| Organization Name: | DIAMOND YEARS ADULT MEDICAL DAY CARE CENTER LLC |
| NPI Number: | 1508214099 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EUGENA KIM (ADMINISTRATOR) |
| Mailing Address: | 360 West Clinton Street Haledon |
| State: | NJ US |
| Postal Code: | 07508 |
| Phone Number: | 9739424111 |
| Fax Number: | 9739420111 |
| NPI Enumeration Date: | 05/25/2016 |
| NPI Last Update Date: | 05/25/2016 |
| 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: | |