Healthcare Provider Details

I. General information

NPI: 1992568877
Provider Name (Legal Business Name): NEW LIFE ADULT DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 FRANKLIN BLVD STE 6
SOMERSET NJ
08873-3624
US

IV. Provider business mailing address

727 FRANKLIN BLVD STE 6
SOMERSET NJ
08873-3624
US

V. Phone/Fax

Practice location:
  • Phone: 732-253-5658
  • Fax: 732-325-0860
Mailing address:
  • Phone: 732-253-5658
  • Fax: 732-325-0860

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. USHA DARJI
Title or Position: CO-OWNER
Credential:
Phone: 732-208-9496