Healthcare Provider Details

I. General information

NPI: 1902049380
Provider Name (Legal Business Name): SOUTH PLAINFIELD DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 04/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 HADLEY RD FLOOR 1
SOUTH PLAINFIELD NJ
07080-1183
US

IV. Provider business mailing address

3000 HADLEY RD FLOOR 1
SOUTH PLAINFIELD NJ
07080-1183
US

V. Phone/Fax

Practice location:
  • Phone: 908-822-0300
  • Fax: 908-822-0391
Mailing address:
  • Phone: 908-822-0300
  • Fax: 908-822-0391

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: PEARL ABRAHAM
Title or Position: ADMINISTRATOR
Credential:
Phone: 908-822-0300