Healthcare Provider Details

I. General information

NPI: 1558735399
Provider Name (Legal Business Name): UNIVERSAL LOVE SOCIAL DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9002 QUEENS BLVD FL 2
ELMHURST NY
11373-4941
US

IV. Provider business mailing address

9002 QUEENS BLVD FL 2
ELMHURST NY
11373-4941
US

V. Phone/Fax

Practice location:
  • Phone: 347-459-6441
  • Fax:
Mailing address:
  • Phone: 347-459-6441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. CHUIKUEN LEE
Title or Position: MANAGER
Credential:
Phone: 347-459-6441