Provider Demographics
NPI:1720460223
Name:GOODWILL SOCIAL DAYCARE, INC.
Entity Type:Organization
Organization Name:GOODWILL SOCIAL DAYCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-567-1428
Mailing Address - Street 1:334 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5002
Mailing Address - Country:US
Mailing Address - Phone:917-417-8223
Mailing Address - Fax:
Practice Address - Street 1:334 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5002
Practice Address - Country:US
Practice Address - Phone:917-417-8223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care