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NPI Code Detail

MEDICARE: ELDERSERVE SOCIAL MODEL DAY CARE

MEDICARE: ELDERSERVE SOCIAL MODEL DAY CARE
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1124211610
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDERSERVE SOCIAL MODEL DAY CARE
Provider Business Mailing Address
First Line : 5901 PALISADE AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1205
Country : US
Telephone Number : 718-581-1712
Fax Number : 718-796-7534
Provider Business Practice Location Address
First Line : 5901 PALISADE AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1205
Country : US
Telephone Number : 718-581-1712
Fax Number : 718-796-7534
Authorized Official
Title or Position : A/R MANAGER
Name : MS. SAVITA D RAMDASS
Credential :
Telephone Number : 718-581-1712
Provider Enumeration Date : 08/20/2007
Last Update Date : 08/20/2007

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Directions to “ELDERSERVE SOCIAL MODEL DAY CARE ” Practice Location

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