Provider Demographics
NPI:1699457770
Name:ESP ADULT DAY CENTER
Entity type:Organization
Organization Name:ESP ADULT DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELISSA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, MS ED
Authorized Official - Phone:251-689-5806
Mailing Address - Street 1:671 STANTON RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36617-2200
Mailing Address - Country:US
Mailing Address - Phone:251-689-5806
Mailing Address - Fax:251-456-7146
Practice Address - Street 1:671 STANTON RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2200
Practice Address - Country:US
Practice Address - Phone:251-689-5806
Practice Address - Fax:251-456-7146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care