Provider Demographics
NPI:1326540014
Name:ALL IN A DAY ADULT MEDICAL DAY CARE
Entity Type:Organization
Organization Name:ALL IN A DAY ADULT MEDICAL DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:L
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-446-1804
Mailing Address - Street 1:104 PENSION RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8400
Mailing Address - Country:US
Mailing Address - Phone:732-446-1804
Mailing Address - Fax:732-446-0047
Practice Address - Street 1:104 PENSION RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8400
Practice Address - Country:US
Practice Address - Phone:732-446-1804
Practice Address - Fax:732-446-0047
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL IN A DAY ADULT MEDICAL DAY CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ556215261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0123439Medicaid