Healthcare Provider Details

I. General information

NPI: 1730662933
Provider Name (Legal Business Name): DELAWARE ADULT DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 PARKWAY CIRCLE
NEW CASTLE DE
19720
US

IV. Provider business mailing address

110 CASEY LN
BENSALEM PA
19020-3968
US

V. Phone/Fax

Practice location:
  • Phone: 267-242-9305
  • Fax:
Mailing address:
  • Phone: 267-242-9305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JAYESH A PATEL
Title or Position: DIRECTOR
Credential:
Phone: 267-242-9305