Provider Demographics
NPI:1346814167
Name:UNITY ADULT DAY HEALTHCARE INC
Entity Type:Organization
Organization Name:UNITY ADULT DAY HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PROSHAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-854-0679
Mailing Address - Street 1:3833 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3505
Mailing Address - Country:US
Mailing Address - Phone:323-854-0679
Mailing Address - Fax:
Practice Address - Street 1:3833 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3505
Practice Address - Country:US
Practice Address - Phone:323-854-0679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care