NPI | 1568023620 |
---|---|
Former Legal Business Name | EAGLES ADULT DAY INC |
Entity Type | Organization |
Authorized Contact | AURORA RRUSTJA Owner 917-605-1240 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2019-06-27 |
Last Update Date | 2019-06-27 |