Healthcare Provider Details

I. General information

NPI: 1528230562
Provider Name (Legal Business Name): CALEB ADULT DAY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2008
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4461 FORBES BLVD
LANHAM MD
20706-4328
US

IV. Provider business mailing address

4461 FORBES BLVD
LANHAM MD
20706-4328
US

V. Phone/Fax

Practice location:
  • Phone: 301-918-9008
  • Fax: 301-918-4006
Mailing address:
  • Phone: 301-918-9008
  • Fax: 301-918-4006

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: JOSHUA O. NATHAN SR.
Title or Position: EXECUTIVE DIRECTOR
Credential: B.S.
Phone: 301-918-9008