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NPI Code Detail

MEDICARE: A NEW DAY ADULT DAYCARE AND OUTPATIENT TREATMENT CENTER ,LLC

MEDICARE: A NEW DAY ADULT DAYCARE AND OUTPATIENT TREATMENT 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
1172V00000XCommunity Health Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225438393
Entity Type Code : Organization
Provider Name (Legal Business Name) : A NEW DAY ADULT DAYCARE AND OUTPATIENT TREATMENT CENTER ,LLC
Provider Business Mailing Address
First Line : 3660 N RANCHO DR STE 113
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3188
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3660 N RANCHO DR STE 113
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3188
Country : US
Telephone Number : 404-934-3936
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOHN OSHIFODUNRIN
Credential :
Telephone Number : 404-934-3936
Provider Enumeration Date : 08/26/2014
Last Update Date : 08/26/2014

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Directions to “A NEW DAY ADULT DAYCARE AND OUTPATIENT TREATMENT CENTER ,LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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