Healthcare Provider Details

I. General information

NPI: 1992437453
Provider Name (Legal Business Name): LOVE CARE ADULT DAYCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 06/24/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13332 41ST RD STE 1A
FLUSHING NY
11355-3775
US

IV. Provider business mailing address

13332 41ST RD STE 1A
FLUSHING NY
11355-3775
US

V. Phone/Fax

Practice location:
  • Phone: 718-305-1000
  • Fax:
Mailing address:
  • Phone: 718-305-1000
  • 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: HUI LI
Title or Position: MS
Credential:
Phone: 917-250-6786