Provider Demographics
NPI:1336802636
Name:ARINZE ADULT DAYCARE LLC
Entity Type:Organization
Organization Name:ARINZE ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPONSOR REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:OLAWANDE
Authorized Official - Middle Name:A
Authorized Official - Last Name:AGUNLOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-607-2944
Mailing Address - Street 1:9602 GLENWOOD RD STE 213
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2632
Mailing Address - Country:US
Mailing Address - Phone:347-307-5600
Mailing Address - Fax:
Practice Address - Street 1:111 CARLETON AVE STE 2A
Practice Address - Street 2:
Practice Address - City:ISLIP TERRACE
Practice Address - State:NY
Practice Address - Zip Code:11752-2236
Practice Address - Country:US
Practice Address - Phone:631-307-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty