Provider Demographics
NPI:1225386733
Name:BEAUTIFUL LIFE ADULT SOCIAL DAY CARE
Entity Type:Organization
Organization Name:BEAUTIFUL LIFE ADULT SOCIAL DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KRITSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-674-7780
Mailing Address - Street 1:3350 NOSTRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4004
Mailing Address - Country:US
Mailing Address - Phone:718-676-7544
Mailing Address - Fax:718-569-6858
Practice Address - Street 1:3350 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4004
Practice Address - Country:US
Practice Address - Phone:718-676-7544
Practice Address - Fax:718-569-6858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care