Organization Name: | PREMIER SOCIAL ADULT DAY SERVICES |
NPI Number: | 1023473188 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ENA BAILEY (PRESIDENT/CEO) |
Mailing Address: | 115 Fulton Ave Hempstead |
State: | NY US |
Postal Code: | 115503706 |
Phone Number: | 5162808111 |
Fax Number: | 5162804907 |
NPI Enumeration Date: | 12/16/2015 |
NPI Last Update Date: | 12/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |