Evergreen Senior Daycare Center INC

NPI #1841833993 in Brooklyn, New York

Provider Information

NPI Number: 1841833993
Entity Type: Organization
Organization Name: Evergreen Senior Daycare Center INC
Subpart: Yes (part of a larger organization)
Parent Organization: EVERGREEN SENIOR DAYCARE CENTER INC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Oct 22, 2019
Last Updated: Oct 22, 2019

Practice Location

Address: 5815 6TH AVE
City: Brooklyn
State: New York
ZIP Code: 11220-3808
Phone: (718) 851-9888

Authorized Official

Name: WEI GUO
Title: DIRECTOR
Phone: (917) 288-9878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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