MEDICARE: R&G DAY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1295079176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R&G DAY CARE LLC

Provider Business Mailing Address
First Line	:	1815 85TH ST STE 201
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3112
Country	:	US
Telephone Number	:	718-232-4312
Fax Number	:	718-232-4315

Provider Business Practice Location Address
First Line	:	1815 85TH ST STE 201
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3112
Country	:	US
Telephone Number	:	718-232-4312
Fax Number	:	718-232-4315

Authorized Official
Title or Position	:	OWNER
Name	:	WEI XIN LIANG
Credential	:
Telephone Number	:	646-852-8683

Provider Enumeration Date	:	11/16/2012
Last Update Date	:	08/10/2017

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