Provider Demographics
NPI:1588939946
Name:HAPPY LIFE SOCIAL ADULT DAYCARE INC
Entity type:Organization
Organization Name:HAPPY LIFE SOCIAL ADULT DAYCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KERZHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-921-7744
Mailing Address - Street 1:131 LANGHAM ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1870 BATH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4616
Practice Address - Country:US
Practice Address - Phone:718-996-8126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care