Provider Demographics
NPI:1215474242
Name:ETERNAL CARE SERVICE INC
Entity type:Organization
Organization Name:ETERNAL CARE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUB
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-517-4090
Mailing Address - Street 1:6821 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5618
Mailing Address - Country:US
Mailing Address - Phone:347-517-4090
Mailing Address - Fax:347-517-4016
Practice Address - Street 1:6821 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5618
Practice Address - Country:US
Practice Address - Phone:347-517-4090
Practice Address - Fax:347-517-4016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-29
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health