| Organization Name: | PASTIMES ADULT DAY CENTER |
| NPI Number: | 1326253220 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHRYN ANN BEATY (OWNER - DIRECTOR) |
| Mailing Address: | 423 Main St Deep River |
| State: | CT US |
| Postal Code: | 064172049 |
| Phone Number: | 8605264342 |
| Fax Number: | 8605269887 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |