Provider Demographics
NPI:1316301195
Name:ROYAL ADULT DAYCARE LLC
Entity type:Organization
Organization Name:ROYAL ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANAT
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIMOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-444-2923
Mailing Address - Street 1:9717 64TH RD
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2261
Mailing Address - Country:US
Mailing Address - Phone:917-444-2923
Mailing Address - Fax:718-713-0008
Practice Address - Street 1:9717 64TH RD
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2261
Practice Address - Country:US
Practice Address - Phone:917-444-2923
Practice Address - Fax:718-713-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care