Provider Demographics
NPI:1356013346
Name:A & J ADULT DAYCARE LLC
Entity Type:Organization
Organization Name:A & J ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOHEN DE CEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-744-6285
Mailing Address - Street 1:6013 7TH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4104
Mailing Address - Country:US
Mailing Address - Phone:929-250-2168
Mailing Address - Fax:929-250-2167
Practice Address - Street 1:6013 7TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4104
Practice Address - Country:US
Practice Address - Phone:929-250-2168
Practice Address - Fax:929-250-2167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care