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NPI Code Detail

MEDICARE: MONTGOMERY ADULT DAY CARE, INC.

MEDICARE: MONTGOMERY ADULT DAY CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1013318229
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTGOMERY ADULT DAY CARE, INC.
Provider Business Mailing Address
First Line : 9123 GAITHER RD
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20877-1451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9123 GAITHER RD
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20877-1451
Country : US
Telephone Number : 240-423-9182
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : IRENE MAYZEL
Credential :
Telephone Number : 240-423-9182
Provider Enumeration Date : 09/07/2014
Last Update Date : 09/07/2014

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Directions to “MONTGOMERY ADULT DAY CARE, INC. ” Practice Location

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