Provider Demographics
NPI:1225409832
Name:GIFF SOCIAL ADULT DAY CARE
Entity Type:Organization
Organization Name:GIFF SOCIAL ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLOLADE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-383-3515
Mailing Address - Street 1:1150 DELSEA DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WESTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08093-2225
Mailing Address - Country:US
Mailing Address - Phone:856-383-3515
Mailing Address - Fax:
Practice Address - Street 1:1150 DELSEA DR
Practice Address - Street 2:SUITE 7
Practice Address - City:WESTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08093-2225
Practice Address - Country:US
Practice Address - Phone:856-383-3515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSOCIAL ADULT (NONE)261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care