Healthcare Provider Details

I. General information

NPI: 1326387077
Provider Name (Legal Business Name): PARSIPPANY ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2013
Last Update Date: 01/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

796 ROUTE 46
PARSIPPANY NJ
07054-3401
US

IV. Provider business mailing address

3 BRIGHTON CT
LIVINGSTON NJ
07039-4226
US

V. Phone/Fax

Practice location:
  • Phone: 973-477-3836
  • Fax:
Mailing address:
  • Phone: 973-477-3936
  • Fax:

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: MRS. DAXA PATEL
Title or Position: OWNER
Credential:
Phone: 973-477-3836