Provider Demographics
NPI:1154595601
Name:ADULT DAY CENTER OF SOMERSET COUNTY
Entity type:Organization
Organization Name:ADULT DAY CENTER OF SOMERSET COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MACAULAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-725-0068
Mailing Address - Street 1:120 FINDERNE AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3670
Mailing Address - Country:US
Mailing Address - Phone:908-725-0068
Mailing Address - Fax:908-725-2995
Practice Address - Street 1:120 FINDERNE AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3670
Practice Address - Country:US
Practice Address - Phone:908-725-0068
Practice Address - Fax:908-725-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care