Healthcare Provider Details

I. General information

NPI: 1225117864
Provider Name (Legal Business Name): M & T ADULT DAY HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 W VALLEY BLVD
ALHAMBRA CA
91803-3233
US

IV. Provider business mailing address

820 W VALLEY BLVD
ALHAMBRA CA
91803-3233
US

V. Phone/Fax

Practice location:
  • Phone: 626-943-0070
  • Fax: 626-943-0077
Mailing address:
  • Phone: 626-943-0070
  • Fax: 626-943-0077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000758
License Number StateCA

VIII. Authorized Official

Name: STACEY KING
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 626-943-0070