Healthcare Provider Details

I. General information

NPI: 1508646662
Provider Name (Legal Business Name): ANGEL STAR ADULT DAY CARE CENTER OF CHELTENHAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2023
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CENTRAL AVE
CHELTENHAM PA
19012-2201
US

IV. Provider business mailing address

1 CENTRAL AVE
CHELTENHAM PA
19012-2201
US

V. Phone/Fax

Practice location:
  • Phone: 267-690-4078
  • Fax:
Mailing address:
  • Phone: 267-690-4078
  • 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: DAISY MANILAL
Title or Position: CEO
Credential: RN
Phone: 267-690-4078