Healthcare Provider Details

I. General information

NPI: 1427977677
Provider Name (Legal Business Name): MY CHOICE ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

487 NORTHAMPTON ST
KINGSTON PA
18704-4509
US

IV. Provider business mailing address

512 NORTHAMPTON ST
KINGSTON PA
18704-4560
US

V. Phone/Fax

Practice location:
  • Phone: 570-703-1161
  • Fax:
Mailing address:
  • Phone: 570-703-1161
  • 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: MICHAEL MARCHETTI
Title or Position: OWNER
Credential: RN
Phone: 570-239-9232