Healthcare Provider Details

I. General information

NPI: 1730849704
Provider Name (Legal Business Name): SWEET FAMILY ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 12/21/2021
Certification Date: 12/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3759 81ST ST FL 2
JACKSON HEIGHTS NY
11372-6977
US

IV. Provider business mailing address

3759 81ST ST FL 2
JACKSON HEIGHTS NY
11372-6977
US

V. Phone/Fax

Practice location:
  • Phone: 917-881-5868
  • Fax:
Mailing address:
  • Phone: 917-881-5868
  • 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: MR. JASON FANG
Title or Position: PRESIDENT
Credential:
Phone: 917-881-5868