Provider Demographics
NPI:1427665835
Name:GOLDEN YEARS ADULT DAY CARE CENTER
Entity type:Organization
Organization Name:GOLDEN YEARS ADULT DAY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:YANOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-782-4112
Mailing Address - Street 1:1225 MCBRIDE AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-3813
Mailing Address - Country:US
Mailing Address - Phone:973-782-4112
Mailing Address - Fax:973-782-4116
Practice Address - Street 1:1225 MCBRIDE AVE STE 208
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-3813
Practice Address - Country:US
Practice Address - Phone:973-782-4112
Practice Address - Fax:973-782-4116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services