Healthcare Provider Details

I. General information

NPI: 1629454764
Provider Name (Legal Business Name): MORRIS ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 07/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

784 ROUTE 46
PARSIPPANY NJ
07054-3401
US

IV. Provider business mailing address

784 ROUTE 46
PARSIPPANY NJ
07054-3401
US

V. Phone/Fax

Practice location:
  • Phone: 973-794-4455
  • Fax: 973-794-4373
Mailing address:
  • Phone: 973-794-4455
  • 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: MR. WILLIAM ZENGERLE
Title or Position: COO
Credential: LNHA
Phone: 973-794-4455