Healthcare Provider Details

I. General information

NPI: 1740982602
Provider Name (Legal Business Name): SHAKTI DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 OAK TREE AVE STE 5100
SOUTH PLAINFIELD NJ
07080-5136
US

IV. Provider business mailing address

19 ELLMYER RD
EDISON NJ
08820-2743
US

V. Phone/Fax

Practice location:
  • Phone: 732-318-8261
  • Fax:
Mailing address:
  • Phone: 732-318-8261
  • 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: HIRAL PATEL
Title or Position: MANAGER
Credential:
Phone: 732-318-8261