Provider Demographics
NPI:1902049380
Name:SOUTH PLAINFIELD DAY CARE
Entity Type:Organization
Organization Name:SOUTH PLAINFIELD DAY CARE
Other - Org Name:CIRCLE OF LIFE ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PEARL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-822-0300
Mailing Address - Street 1:3000 HADLEY RD
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-1183
Mailing Address - Country:US
Mailing Address - Phone:908-822-0300
Mailing Address - Fax:908-822-0391
Practice Address - Street 1:3000 HADLEY RD
Practice Address - Street 2:FLOOR 1
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-1183
Practice Address - Country:US
Practice Address - Phone:908-822-0300
Practice Address - Fax:908-822-0391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care