Healthcare Provider Details
I. General information
NPI: 1053181743
Provider Name (Legal Business Name): LEHIGH ADULT CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2024
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3241 HAMILTON BLVD
ALLENTOWN PA
18103-4534
US
IV. Provider business mailing address
PO BOX 855
TREXLERTOWN PA
18087-0855
US
V. Phone/Fax
- Phone: 484-725-0081
- Fax:
- Phone: 484-725-0081
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HARSHIL
PATEL
Title or Position: OWNER
Credential: RPH
Phone: 484-725-0081