Healthcare Provider Details

I. General information

NPI: 1639678642
Provider Name (Legal Business Name): CAREWAY MEDICAL ADULT DAY CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2018
Last Update Date: 02/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 MOLA BLVD
ELMWOOD PARK NJ
07407-2038
US

IV. Provider business mailing address

511 MOLA BLVD
ELMWOOD PARK NJ
07407-2038
US

V. Phone/Fax

Practice location:
  • Phone: 201-773-0779
  • Fax: 201-773-0780
Mailing address:
  • Phone: 201-773-0779
  • Fax: 201-773-0780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. ZHANNA ALERGANT
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 201-773-0779