Provider Demographics
NPI:1336904044
Name:NEW SUNFLOWER DAYCARE CENTER, LLC
Entity Type:Organization
Organization Name:NEW SUNFLOWER DAYCARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AME
Authorized Official - Middle Name:
Authorized Official - Last Name:IYAMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-485-8470
Mailing Address - Street 1:1704 BATH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-7604
Mailing Address - Country:US
Mailing Address - Phone:718-236-3643
Mailing Address - Fax:
Practice Address - Street 1:1704 BATH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-7604
Practice Address - Country:US
Practice Address - Phone:718-236-3643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service