Provider Demographics
NPI:1740600857
Name:DIVERSIFIED SOCIAL ADULT DAY CARE
Entity Type:Organization
Organization Name:DIVERSIFIED SOCIAL ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GINGTOE
Authorized Official - Middle Name:
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-243-3344
Mailing Address - Street 1:114 SEIGEL ST
Mailing Address - Street 2:APT 1A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-3304
Mailing Address - Country:US
Mailing Address - Phone:646-243-3344
Mailing Address - Fax:347-662-2430
Practice Address - Street 1:8840 80TH ST
Practice Address - Street 2:BSMT
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-2405
Practice Address - Country:US
Practice Address - Phone:646-243-3344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care