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NPI Code Detail

MEDICARE: RED APPLE SOCIAL DAY CARE

MEDICARE: RED APPLE SOCIAL DAY CARE
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
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1467906347
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED APPLE SOCIAL DAY CARE
Provider Business Mailing Address
First Line : 6023 FORT HAMILTON PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4814
Country : US
Telephone Number : 718-633-8818
Fax Number :
Provider Business Practice Location Address
First Line : 6023 FORT HAMILTON PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4814
Country : US
Telephone Number : 718-633-8818
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. GUIRONG PENG
Credential :
Telephone Number : 718-633-8818
Provider Enumeration Date : 08/09/2016
Last Update Date : 08/09/2016

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Directions to “RED APPLE SOCIAL DAY CARE ” Practice Location

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