Healthcare Provider Details

I. General information

NPI: 1083067169
Provider Name (Legal Business Name): ANGELA'S ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 07/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 ELIZABETH ST FRNT
NEW YORK NY
10013-4563
US

IV. Provider business mailing address

9 ELIZABETH ST FRNT
NEW YORK NY
10013-4563
US

V. Phone/Fax

Practice location:
  • Phone: 917-939-3590
  • 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: HUI MEI LIANG
Title or Position: PRESIDENT
Credential:
Phone: 917-939-3590