Provider Demographics
NPI:1043734916
Name:SAFERADULTDAY
Entity Type:Organization
Organization Name:SAFERADULTDAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:SAFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-382-7648
Mailing Address - Street 1:150 BEACH 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5609
Mailing Address - Country:US
Mailing Address - Phone:718-702-0487
Mailing Address - Fax:
Practice Address - Street 1:150 BEACH 9TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5609
Practice Address - Country:US
Practice Address - Phone:718-702-0487
Practice Address - Fax:718-702-0487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care