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General NPI Number Information
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NPI Number | 1033070552
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Entity Type | Organization
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Legal Business Name | YLC ADULT DAYCARE INC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 7814 ROOSEVELT AVE STE 2
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6646
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Country | US
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Telephone | 718-899-1691
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Fax | 718-899-1690
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Provider Business Mailing Address
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Address Line | 9740 64TH AVE
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City | REGO PARK
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State | NY
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Zip | 11374-2263
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Country | US
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Telephone | 718-997-0426
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Fax | 718-228-9180
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. LIBING LAI
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Credential |
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Telephone | 718-899-1691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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