Healthcare Provider Details

I. General information

NPI: 1720845498
Provider Name (Legal Business Name): ALL IN A DAY ADULT MEDICAL DAYACRE-BY EXCELCARELLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
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: 732-792-2332
Mailing address:
  • Phone: 732-792-2273
  • Fax: 732-792-2332

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