MEDICARE: FRIENDS ADULT DAYCARE CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1225807936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDS ADULT DAYCARE CENTER INC

Provider Business Mailing Address
First Line	:	1548 72ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-2161
Country	:	US
Telephone Number	:	718-232-3950
Fax Number	:	718-232-3891

Provider Business Practice Location Address
First Line	:	1548 72ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-2161
Country	:	US
Telephone Number	:	718-232-3950
Fax Number	:	718-232-3891

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MISS MONICA CAI
Credential	:
Telephone Number	:	718-232-3950

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	12/21/2023

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