Provider Demographics
NPI:1386919413
Name:JN ADULT SOCIAL DAY CARE SERVICE
Entity type:Organization
Organization Name:JN ADULT SOCIAL DAY CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:LEI
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-701-3422
Mailing Address - Street 1:825 57TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3648
Mailing Address - Country:US
Mailing Address - Phone:718-701-3422
Mailing Address - Fax:718-504-7588
Practice Address - Street 1:825 57TH ST FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3648
Practice Address - Country:US
Practice Address - Phone:718-701-3422
Practice Address - Fax:718-504-7588
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED ASIA ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home