Healthcare Provider Details

I. General information

NPI: 1649499351
Provider Name (Legal Business Name): ALL IN A DAY ADULT MEDICAL DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 PENSION RD
MANALAPAN NJ
07726-8400
US

IV. Provider business mailing address

104 PENSION RD
MANALAPAN NJ
07726-8400
US

V. Phone/Fax

Practice location:
  • Phone: 732-792-2273
  • Fax:
Mailing address:
  • Phone: 732-792-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number556215
License Number StateNJ

VIII. Authorized Official

Name: KELLY RAIKE
Title or Position: ADMINISTRATOR
Credential:
Phone: 732-792-2273