Healthcare Provider Details

I. General information

NPI: 1821371394
Provider Name (Legal Business Name): DELAWARE VALLEY ADULT DAY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 TECHNOLOGY DR SUITE 200
MALVERN PA
19355-1314
US

IV. Provider business mailing address

425 TECHNOLOGY DR SUITE 200
MALVERN PA
19355-1314
US

V. Phone/Fax

Practice location:
  • Phone: 610-251-0801
  • 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: MR. DOUGLAS CHARLES SMITH
Title or Position: PRESIDENT
Credential:
Phone: 610-251-0801