Provider Demographics
NPI:1083011217
Name:RISHAVENA SOCIAL ADULT DAY CARE
Entity Type:Organization
Organization Name:RISHAVENA SOCIAL ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURENT
Authorized Official - Suffix:
Authorized Official - Credentials:RN DON
Authorized Official - Phone:718-251-1231
Mailing Address - Street 1:2260 FLATBUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4516
Mailing Address - Country:US
Mailing Address - Phone:718-251-1231
Mailing Address - Fax:347-702-7243
Practice Address - Street 1:2260 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4516
Practice Address - Country:US
Practice Address - Phone:718-251-1231
Practice Address - Fax:347-702-7243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care