MEDICARE: CENTURY ADULT DAYCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1114740131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTURY ADULT DAYCARE

Provider Business Mailing Address
First Line	:	5612 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2306
Country	:	US
Telephone Number	:	267-226-9099
Fax Number	:

Provider Business Practice Location Address
First Line	:	5612 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2306
Country	:	US
Telephone Number	:	267-226-9099
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BON HENG
Credential	:
Telephone Number	:	267-226-9099

Provider Enumeration Date	:	11/07/2024
Last Update Date	:	11/07/2024

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Directions to “CENTURY ADULT DAYCARE ” Practice Location

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