Provider Demographics
NPI:1457780488
Name:ELMHURST ADULT DAYCARE CENTER CORP.
Entity Type:Organization
Organization Name:ELMHURST ADULT DAYCARE CENTER CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUO HANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-803-2388
Mailing Address - Street 1:8219 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4242
Mailing Address - Country:US
Mailing Address - Phone:718-803-2388
Mailing Address - Fax:718-803-1588
Practice Address - Street 1:8219 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4242
Practice Address - Country:US
Practice Address - Phone:718-803-2388
Practice Address - Fax:718-803-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care