Healthcare Provider Details

I. General information

NPI: 1548318173
Provider Name (Legal Business Name): ADULT DAY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 NEW POINTE BLVD STE 5
LELAND NC
28451-4129
US

IV. Provider business mailing address

1107 NEW POINTE BLVD STE 5
LELAND NC
28451-4129
US

V. Phone/Fax

Practice location:
  • Phone: 910-383-3959
  • Fax: 910-383-3676
Mailing address:
  • Phone: 910-383-3959
  • Fax: 910-383-3676

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: MRS. CARALEE COTTLE
Title or Position: PRESIDENT OWNER
Credential:
Phone: 910-383-3959