Healthcare Provider Details

I. General information

NPI: 1295077998
Provider Name (Legal Business Name): MONTEREY PENINSULA WISDOM ADULT DAY HEALTH CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 03/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W ALISAL ST
SALINAS CA
93901-1940
US

IV. Provider business mailing address

PO BOX 2282
SALINAS CA
93902-2282
US

V. Phone/Fax

Practice location:
  • Phone: 831-277-7785
  • Fax:
Mailing address:
  • Phone: 831-277-7785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number550001526
License Number StateCA

VIII. Authorized Official

Name: DR. RAKESH MARY HAGINS CHAND
Title or Position: PROGRAM DIRECTOR/OWNWRS
Credential: PHD
Phone: 408-308-7637