Healthcare Provider Details

I. General information

NPI: 1962751362
Provider Name (Legal Business Name): BENSALEM ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2012
Last Update Date: 08/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 VETERANS HWY
LEVITTOWN PA
19056-1422
US

IV. Provider business mailing address

311 VETERANS HWY
LEVITTOWN PA
19056-1422
US

V. Phone/Fax

Practice location:
  • Phone: 215-666-6734
  • Fax: 732-377-8678
Mailing address:
  • Phone: 215-666-6734
  • Fax: 732-377-8678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number295044
License Number StatePA

VIII. Authorized Official

Name: MR. TEJAS PATEL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 732-318-1658