Providence Rest Adult Day Health Care

NPI 1063597631 - Clinic/Center - 261QA0600X

NPI Details
NPI 1063597631
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SANDRA SANDRA
Position CFO
Phone (718) 931-3000
Fax (718) 931-2839
Practice Location
3304 WATERBURY AVE
BRONX NY, 10465-1554, US
Phone (718) 931-3000
Fax (718) 931-2839
Business Location
3304 WATERBURY AVE
BRONX NY, 10465-1554, US
Phone (718) 931-3000
Fax (718) 931-2839
Toxanomy
Taxonomy Code 261QA0600X
License State New York
License Number 7000306N
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According to our database, Providence Rest Adult Day Health Care NPI is 1063597631, taxonomy code is 261QA0600X and license number is 7000306N, license state is located at New York. Providence Rest Adult Day Health Care physically located at 3304 Waterbury Ave, Bronx NY, 10465-1554. NPI Number 1033115704 has the healthcare provider type.

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1063597631 NPI number is provided on an as is basis without warranty of any kind. 1063597631 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Rest Adult Day Health Care are for informational purposes only.