Healthcare Provider Details
I. General information
NPI: 1992185797
Provider Name (Legal Business Name): CARE FACTORY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2015
Last Update Date: 07/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
397 HALEDON AVE SUITE 202
HALEDON NJ
07508-1551
US
IV. Provider business mailing address
397 HALEDON AVE SUITE 202
HALEDON NJ
07508-1551
US
V. Phone/Fax
- Phone: 973-444-7882
- 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 | |
| License Number State | |
VIII. Authorized Official
Name:
HARRIS
KAHF
Title or Position: OWNER
Credential:
Phone: 201-766-1541