Organization Name: | ADULT DAY CENTER OF WESTERLY INC. |
NPI Number: | 1093799207 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY A LEE (EXECUTIVE DIRECTOR) |
Mailing Address: | 5 Union St Westerly |
State: | RI US |
Postal Code: | 028912131 |
Phone Number: | 4015961336 |
Fax Number: | 4015966186 |
NPI Enumeration Date: | 12/01/2005 |
NPI Last Update Date: | 03/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 10 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |