NPI 1568018505

Ebony Eyes Community Services Center INC.

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Bronx, NY

Practice location

Address: 1646 Andrews Ave APT 3, Bronx, NY 10453-7347
Phone: (917) 544-3151

Authorised official

Name: Ebony Altina Sanjurjo
Title: Chief Executive Officer
Phone: (917) 544-3151

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1568018505
Entity type: Organization
NPI issued: 15 Aug 2019
Record last updated: 15 Aug 2019

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.