| Organization Name: | TAMAQUA AREA ADULT DAY CARE CENTER |
| NPI Number: | 1053588459 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH A SHIPE (FACILITY DIRECTOR) |
| Mailing Address: | 300 W Broad St Tamaqua |
| State: | PA US |
| Postal Code: | 182521821 |
| Phone Number: | 5706686556 |
| Fax Number: | 5706682248 |
| NPI Enumeration Date: | 05/14/2008 |
| NPI Last Update Date: | 05/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 000401580 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |