Organization Name: | MAINTAINING INDEPENDENCE ADULT DAY SERVICES, INC. |
NPI Number: | 1700298304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KYLE WORTH (OWNER) |
Mailing Address: | 11 Kimball Dr Unit 110 Hooksett |
State: | NH US |
Postal Code: | 031062603 |
Phone Number: | 6035689237 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2014 |
NPI Last Update Date: | 05/30/2014 |
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: |