Provider Demographics
NPI:1073858866
Name:JY ADULT SOCIAL DAY CARE SERVICE, INC.
Entity Type:Organization
Organization Name:JY ADULT SOCIAL DAY CARE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NISAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-238-3636
Mailing Address - Street 1:6013 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220
Mailing Address - Country:US
Mailing Address - Phone:718-238-3636
Mailing Address - Fax:718-504-7111
Practice Address - Street 1:6013 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:718-238-3636
Practice Address - Fax:718-504-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care