Healthcare Provider Details

I. General information

NPI: 1760444913
Provider Name (Legal Business Name): CONFIDENT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 HADDONFIELD RD SUITE 312
CHERRY HILL NJ
08002-4802
US

IV. Provider business mailing address

53 HADDONFIELD RD SUITE 312
CHERRY HILL NJ
08002-4802
US

V. Phone/Fax

Practice location:
  • Phone: 856-414-9400
  • Fax:
Mailing address:
  • Phone: 856-414-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number158331
License Number StateNJ

VIII. Authorized Official

Name: ELENA ORLIOUKOVA
Title or Position: PRESIDENT
Credential:
Phone: 201-498-9400