Healthcare Provider Details

I. General information

NPI: 1730556192
Provider Name (Legal Business Name): MY DAYCARE ACHIEVEMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2015
Last Update Date: 09/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HIGHLAND DR
CHALFONT PA
18914-2226
US

IV. Provider business mailing address

2 HIGHLAND DR
CHALFONT PA
18914-2226
US

V. Phone/Fax

Practice location:
  • Phone: 215-256-0050
  • Fax:
Mailing address:
  • Phone:
  • 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: DR. DOMINICK BRACCIA
Title or Position: CEO/MEDICAL DIRECTOR
Credential: DO
Phone: 215-256-0050