Organization Name: | SECOND INNING1 ADULT DAY CARE CENTER |
NPI Number: | 1063681179 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAGAT MEHTA (OWNER) |
Mailing Address: | 155 Algonquin Pkwy Whippany |
State: | NJ US |
Postal Code: | 079811601 |
Phone Number: | 1908329555 |
Fax Number: | 1732635209 |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 04/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | IN PROCESS |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |