Provider Demographics
NPI:1417423328
Name:FLUSHING SOCIAL ADULT CARE INC
Entity Type:Organization
Organization Name:FLUSHING SOCIAL ADULT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-767-2855
Mailing Address - Street 1:PO BOX 541637
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-7637
Mailing Address - Country:US
Mailing Address - Phone:718-767-2855
Mailing Address - Fax:718-767-2855
Practice Address - Street 1:13235 41ST RD APT 2B
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4115
Practice Address - Country:US
Practice Address - Phone:347-542-4643
Practice Address - Fax:347-542-4644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care