Healthcare Provider Details

I. General information

NPI: 1154595601
Provider Name (Legal Business Name): ADULT DAY CENTER OF SOMERSET COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 FINDERNE AVE
BRIDGEWATER NJ
08807-3670
US

IV. Provider business mailing address

120 FINDERNE AVE
BRIDGEWATER NJ
08807-3670
US

V. Phone/Fax

Practice location:
  • Phone: 908-725-0068
  • Fax: 908-725-2995
Mailing address:
  • Phone: 908-725-0068
  • Fax: 908-725-2995

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. JEFF MACAULAY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 908-725-0068