LA VIDA ADULT SOCIAL CARE CENTER LLC NPI 1255775771

NPI Information

LA VIDA ADULT SOCIAL CARE CENTER, LLC is an adult day care clinic center in New York, NY. LA VIDA ADULT SOCIAL CARE CENTER, LLC NPI is 1255775771. The provider is registered as an organization entity type.

The provider's business location address is:

5030 BROADWAY
SUITE # 804
NEW YORK, NY
ZIP 10034-609
Phone: (917) 688-1543
Fax: (917) 688-1542

The provider's authorized official is Vladislav M. Tolchev .
The authorized official title is Member-manager and has the following contact phone number (917) 688-1543.

The enumeration date for this NPI number is 4/26/2013 and was last updated on 4/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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