Provider Demographics
NPI:1689919219
Name:65 SWEET HOME ADULT DAYCARE CENTER
Entity Type:Organization
Organization Name:65 SWEET HOME ADULT DAYCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZHONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-288-3398
Mailing Address - Street 1:2277 65TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4001
Mailing Address - Country:US
Mailing Address - Phone:646-288-3398
Mailing Address - Fax:888-469-8495
Practice Address - Street 1:2277 65TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4001
Practice Address - Country:US
Practice Address - Phone:646-288-3398
Practice Address - Fax:888-469-8495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-08
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home