Provider Demographics
NPI:1912372053
Name:REGO PARK ADULT DAYCARE INC
Entity Type:Organization
Organization Name:REGO PARK ADULT DAYCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUI
Authorized Official - Middle Name:XIANG
Authorized Official - Last Name:YUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-213-9882
Mailing Address - Street 1:9740 64TH AVE
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9740 64TH AVE
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2231
Practice Address - Country:US
Practice Address - Phone:718-213-9882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care