Provider Demographics
NPI:1407990526
Name:HOWARD J. WESTON COMMUNITY AND SENIOR CENTER INC.
Entity Type:Organization
Organization Name:HOWARD J. WESTON COMMUNITY AND SENIOR CENTER INC.
Other - Org Name:WESTON ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:302-328-6425
Mailing Address - Street 1:1 BASSETT AVE
Mailing Address - Street 2:MANOR PARK
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-1906
Mailing Address - Country:US
Mailing Address - Phone:302-328-6425
Mailing Address - Fax:302-328-6422
Practice Address - Street 1:1 BASSETT AVE
Practice Address - Street 2:MANOR PARK
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-1906
Practice Address - Country:US
Practice Address - Phone:302-328-6425
Practice Address - Fax:302-328-6422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEADULT DAY ADC-015103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000037841Medicaid