Provider Demographics
NPI:1093994071
Name:CATHOLIC FAMILY & COMMUNITY SERVICES
Entity Type:Organization
Organization Name:CATHOLIC FAMILY & COMMUNITY SERVICES
Other - Org Name:PATERSON ADULT DAY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF CATHOLIC FAMI
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:MAT MA MPA MNM
Authorized Official - Phone:973-279-7100
Mailing Address - Street 1:163 ROSA PARKS BLVD
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501
Mailing Address - Country:US
Mailing Address - Phone:973-345-5853
Mailing Address - Fax:973-345-1649
Practice Address - Street 1:163 ROSA PARKS BLVD
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501
Practice Address - Country:US
Practice Address - Phone:973-345-5853
Practice Address - Fax:973-345-1649
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC FAMILY & COMMUNITY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
0073202OtherCCPED