Provider Demographics
NPI:1407265309
Name:ELDER DAY CARE, INC.
Entity Type:Organization
Organization Name:ELDER DAY CARE, INC.
Other - Org Name:DAYOUT ADHC - EL CENTRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:TOSTE
Authorized Official - Last Name:MACHADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-996-7913
Mailing Address - Street 1:643 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRAWLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92227-2547
Mailing Address - Country:US
Mailing Address - Phone:760-344-4654
Mailing Address - Fax:760-344-4608
Practice Address - Street 1:757 W MAIN ST
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2921
Practice Address - Country:US
Practice Address - Phone:760-337-8393
Practice Address - Fax:760-337-8449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care