Organization Name: | GIFF SOCIAL ADULT DAY CARE |
NPI Number: | 1225409832 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLOLADE BALOGUN (OWNER) |
Mailing Address: | 1150 Delsea Dr Suite 7 Westville |
State: | NJ US |
Postal Code: | 080932225 |
Phone Number: | 8563833515 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2015 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | SOCIAL ADULT (NONE) |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |