Provider Demographics
NPI:1225655343
Name:FOREVER YOUNG MEDICAL DAY CARE
Entity Type:Organization
Organization Name:FOREVER YOUNG MEDICAL DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER - MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLCHEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-939-9512
Mailing Address - Street 1:18 WORLDS FAIR DR FL 1
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1346
Mailing Address - Country:US
Mailing Address - Phone:732-939-9512
Mailing Address - Fax:732-271-8116
Practice Address - Street 1:18 WORLDS FAIR DR FL 1
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1346
Practice Address - Country:US
Practice Address - Phone:732-939-9512
Practice Address - Fax:732-271-8116
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:18 WORLDS FAIR DRIVE, SOMERSET NJ 08873
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-06
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty