Healthcare Provider Details

I. General information

NPI: 1942458310
Provider Name (Legal Business Name): SOCIAL SENIORS ADULT DAY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 08/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1396 S HIGH ST
COLUMBUS OH
43207-1042
US

IV. Provider business mailing address

1396 S HIGH ST
COLUMBUS OH
43207-1042
US

V. Phone/Fax

Practice location:
  • Phone: 614-270-7308
  • Fax:
Mailing address:
  • Phone: 614-270-7308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberNONE
License Number State

VIII. Authorized Official

Name: MRS. SVETLANA YURCHAK
Title or Position: DIRECTOR
Credential:
Phone: 614-270-7308