MEDICARE: DAY AND NIGHT ADULT CARE

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	310400000X	Assisted Living Facility	104780825	NY

General Provider Information

NPI Number	:	1164760989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAY AND NIGHT ADULT CARE

Provider Business Mailing Address
First Line	:	1144 ROUTE 94
Second Line	:
City	:	NEW WINDSOR
State	:	NY
Zip	:	12553-7241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1144 ROUTE 94
Second Line	:
City	:	NEW WINDSOR
State	:	NY
Zip	:	12553-7241
Country	:	US
Telephone Number	:	845-476-5386
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AGATH SALOMON
Credential	:
Telephone Number	:	845-476-5386

Provider Enumeration Date	:	01/29/2013
Last Update Date	:	01/29/2013

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Directions to “DAY AND NIGHT ADULT CARE ” Practice Location

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