| NPI | 1710346069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAI YAN YANG Owner 917-285-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2025-10-21 |