Provider Demographics
NPI:1699476895
Name:THE DREAM ADULT DAY CARE, INC.
Entity type:Organization
Organization Name:THE DREAM ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOON JUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-313-8783
Mailing Address - Street 1:15311 BARCLAY AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1108
Mailing Address - Country:US
Mailing Address - Phone:718-313-8783
Mailing Address - Fax:718-691-4936
Practice Address - Street 1:15311 BARCLAY AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1108
Practice Address - Country:US
Practice Address - Phone:718-313-8783
Practice Address - Fax:718-691-4936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care