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NPI Code Detail

MEDICARE: HERITAGE ADULT CARE, LLC

MEDICARE: HERITAGE ADULT CARE, LLC
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 : 1487097051
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERITAGE ADULT CARE, LLC
Provider Business Mailing Address
First Line : 8601 ROCKAWAY BEACH BLVD
Second Line :
City : ROCKAWAY BEACH
State : NY
Zip : 11693-1613
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8601 ROCKAWAY BEACH BLVD
Second Line :
City : ROCKAWAY BEACH
State : NY
Zip : 11693-1613
Country : US
Telephone Number : 718-872-7677
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : LEONARD WEINSTEIN
Credential :
Telephone Number : 718-872-7677
Provider Enumeration Date : 04/12/2013
Last Update Date : 04/12/2013

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Directions to “HERITAGE ADULT CARE, LLC ” Practice Location

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