Provider Demographics
NPI:1194877134
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
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:S
Authorized Official - Last Name:RIKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-395-0333
Mailing Address - Street 1:1213 CULBRETH DR
Mailing Address - Street 2:SUITE 122
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-3684
Mailing Address - Country:US
Mailing Address - Phone:910-395-0333
Mailing Address - Fax:910-395-2426
Practice Address - Street 1:220 AVONDALE AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-7060
Practice Address - Country:US
Practice Address - Phone:910-799-8818
Practice Address - Fax:910-799-3303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility