Healthcare Provider Details
I. General information
NPI: 1306051941
Provider Name (Legal Business Name): HAPPY DAYS ADULT DAY HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
67 S MUNN AVE
EAST ORANGE NJ
07018-3503
US
IV. Provider business mailing address
844 MCCARTER HWY 3RD FLOOR
NEWARK NJ
07102-5209
US
V. Phone/Fax
- Phone: 973-678-0755
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | 082453 |
| License Number State | NJ |
VIII. Authorized Official
Name:
STEVE
KLEIMAN
Title or Position: MEMBER
Credential: LNHA
Phone: 973-350-8777