Organization Name: | LONG LIFE ADULT DAY CARE, LLC |
NPI Number: | 1144429184 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLA EFMAN (ADMINISTRATOR) |
Mailing Address: | 596 Anderson Ave Suite 110 Cliffside Park |
State: | NJ US |
Postal Code: | 070101831 |
Phone Number: | 2019437111 |
Fax Number: | 2019438859 |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 058100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |