Healthcare Provider Details
I. General information
NPI: 1285144402
Provider Name (Legal Business Name): CARING FOR LIFE ADULT MEDICAL DAYCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2017
Last Update Date: 10/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 E HALSEY ROAD
PARSIPPANY NJ
07054
US
IV. Provider business mailing address
120 E HALSEY RD
PARSIPPANY NJ
07054-3720
US
V. Phone/Fax
- Phone: 973-515-8079
- 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:
EMILY
CHAN
Title or Position: FACILITY ADMINISTRATOR
Credential:
Phone: 973-515-8079