NPI 1104540632

Avery Adult Day Care Center INC

Organisation PACE Provider Organization Flushing, NY

Practice location

Address: 13226 Avery Ave, Flushing, NY 11355-4954
Phone: (516) 717-5588
Mailing address: 4122 Fuller Pl Fl 4, Flushing, NY 11355-4294

Authorised official

Name: Keke Fang
Title: Director
Phone: (516) 717-5588

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1104540632
Entity type: Organization
NPI issued: 28 Sep 2022
Record last updated: 28 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.