Provider Demographics
NPI:1225776941
Name:BEAUTIFUL PALACE SOCIAL AD DAYCARE INC.
Entity Type:Organization
Organization Name:BEAUTIFUL PALACE SOCIAL AD DAYCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-529-2415
Mailing Address - Street 1:13454 MAPLE AVE APT 5V
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4540
Mailing Address - Country:US
Mailing Address - Phone:917-639-6239
Mailing Address - Fax:
Practice Address - Street 1:14518 34TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3116
Practice Address - Country:US
Practice Address - Phone:917-639-6239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care