Healthcare Provider Details

I. General information

NPI: 1982878567
Provider Name (Legal Business Name): MORNING STAR ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 04/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 KYLE WAY
EWING NJ
08628-2523
US

IV. Provider business mailing address

90 KYLE WAY
EWING NJ
08628-2523
US

V. Phone/Fax

Practice location:
  • Phone: 609-718-0153
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: STEPHANIE LARBI
Title or Position: DIRECTOR
Credential:
Phone: 917-385-4772