MEDICARE: SILVER TIME ADULT DAY HEALTH CARE CENTER LLC

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
1	261QA0600X	Adult Day Care Clinic/Center		NJ

General Provider Information

NPI Number	:	1144617929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER TIME ADULT DAY HEALTH CARE CENTER LLC

Provider Business Mailing Address
First Line	:	611 MUL ROAD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753
Country	:	US
Telephone Number	:	908-462-2656
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 MULE RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08757-6460
Country	:	US
Telephone Number	:	908-462-2656
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SANDEEP C PATEL
Credential	:
Telephone Number	:	908-462-2656

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	04/20/2015

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