Healthcare Provider Details

I. General information

NPI: 1720266455
Provider Name (Legal Business Name): SECOND INNING ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 10/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 LIVINGSTON AVE
NORTH BRUNSWICK NJ
08902-1880
US

IV. Provider business mailing address

1501 LIVINGSTON AVE
NORTH BRUNSWICK NJ
08902-1880
US

V. Phone/Fax

Practice location:
  • Phone: 732-626-5544
  • Fax: 732-626-5543
Mailing address:
  • Phone: 732-626-5544
  • Fax: 732-626-5543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberIN THE PROCESS
License Number StateNJ

VIII. Authorized Official

Name: MR. NALIN PATEL
Title or Position: OWNER
Credential:
Phone: 732-850-1689