Provider Demographics
NPI:1548318173
Name:ADULT DAY SERVICES INC
Entity type:Organization
Organization Name:ADULT DAY SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARALEE
Authorized Official - Middle Name:
Authorized Official - Last Name:COTTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-383-3959
Mailing Address - Street 1:1107 NEW POINTE BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-4129
Mailing Address - Country:US
Mailing Address - Phone:910-383-3959
Mailing Address - Fax:910-383-3676
Practice Address - Street 1:1107 NEW POINTE BLVD STE 5
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-4129
Practice Address - Country:US
Practice Address - Phone:910-383-3959
Practice Address - Fax:910-383-3676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care