Provider Demographics
NPI:1134546583
Name:EDEN DAY CARE
Entity type:Organization
Organization Name:EDEN DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOUNG KIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-321-2518
Mailing Address - Street 1:4113 149 STREET
Mailing Address - Street 2:2FL
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3414
Mailing Address - Country:US
Mailing Address - Phone:718-321-2518
Mailing Address - Fax:718-939-2792
Practice Address - Street 1:4113 149TH PL
Practice Address - Street 2:2FL
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1015
Practice Address - Country:US
Practice Address - Phone:718-321-2518
Practice Address - Fax:718-939-2792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)