Provider Demographics
NPI:1720810559
Name:GRACE ADULT DAYCARE INC
Entity type:Organization
Organization Name:GRACE ADULT DAYCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-619-2100
Mailing Address - Street 1:213 E 117TH ST STE 700
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4814
Mailing Address - Country:US
Mailing Address - Phone:347-348-8790
Mailing Address - Fax:917-970-2332
Practice Address - Street 1:213 E 117TH ST STE 700
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-4814
Practice Address - Country:US
Practice Address - Phone:646-964-4954
Practice Address - Fax:917-970-2332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services