Organization Name: | CROZER ADULT DAY CENTERS - AS |
NPI Number: | 1013125418 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK GAVIN (COO) |
Mailing Address: | 1 Medical Center Blvd Silberman Center Upland |
State: | PA US |
Postal Code: | 190133902 |
Phone Number: | 6104472935 |
Fax Number: | 6104472963 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 01/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 300350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |