=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265286975
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL FOR YOU ADULT DAYCARE CENTER INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2024
-----------------------------------------------------
Last Update Date | 04/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 123 E BROADWAY
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10002-6301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-370-4610
-----------------------------------------------------
Fax | 646-360-2245
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 123 E BROADWAY
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10002-6301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-370-4610
-----------------------------------------------------
Fax | 646-360-2245
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANGER
-----------------------------------------------------
Name | MS. SHAN QIN ZHANG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 917-238-2673
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------