Provider Demographics
NPI:1134508732
Name:PARENT ASSOCIATION FOR DISABLE CHILDREN AND ADULT MULTI SERVICES
Entity Type:Organization
Organization Name:PARENT ASSOCIATION FOR DISABLE CHILDREN AND ADULT MULTI SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ALTAGRACIA
Authorized Official - Last Name:DIAZ-MATOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-345-4998
Mailing Address - Street 1:794 MADISON AVENUE,
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501-2409
Mailing Address - Country:US
Mailing Address - Phone:973-345-4998
Mailing Address - Fax:973-345-4998
Practice Address - Street 1:777 MADISON AVENUE,
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-2409
Practice Address - Country:US
Practice Address - Phone:973-345-4998
Practice Address - Fax:973-345-4998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility