Healthcare Provider Details

I. General information

NPI: 1093858789
Provider Name (Legal Business Name): COMMUNICARE ADULT DAY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 FRIES MILL RD ECHO PLAZA # 17
SEWELL NJ
08080-9283
US

IV. Provider business mailing address

309 FRIES MILL RD ECHO PLAZA # 17
SEWELL NJ
08080-9283
US

V. Phone/Fax

Practice location:
  • Phone: 856-589-7723
  • Fax: 856-589-9835
Mailing address:
  • Phone: 856-589-7723
  • Fax: 856-589-9835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number83014
License Number StateNJ

VIII. Authorized Official

Name: JACQUELINE DIMAIO
Title or Position: PRESIDENT
Credential: RN, CSW
Phone: 856-589-7723