Healthcare Provider Details

I. General information

NPI: 1780106013
Provider Name (Legal Business Name): HUAN XIAO SOCIAL DAY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 W 9TH ST
BROOKLYN NY
11204-6429
US

IV. Provider business mailing address

1517 W 9TH ST
BROOKLYN NY
11204-6429
US

V. Phone/Fax

Practice location:
  • Phone: 718-837-2888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUN QIANG ZHU
Title or Position: PRESIDENT
Credential:
Phone: 718-837-2888