Healthcare Provider Details

I. General information

NPI: 1669838322
Provider Name (Legal Business Name): ADAPTABLE HOME SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 01/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COLES WAY
LAKEWOOD NJ
08701
US

IV. Provider business mailing address

5 COLES WAY
LAKEWOOD NJ
08701-4875
US

V. Phone/Fax

Practice location:
  • Phone: 732-746-5151
  • Fax: 732-746-5152
Mailing address:
  • Phone: 732-746-5151
  • Fax: 732-746-5152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: ABE DONATH
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 732-746-5151