Provider Demographics
NPI:1437677861
Name:NUSTART ADULT DAY CENTER
Entity Type:Organization
Organization Name:NUSTART ADULT DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-840-3933
Mailing Address - Street 1:708 HAWTHORN DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3184
Mailing Address - Country:US
Mailing Address - Phone:214-840-3933
Mailing Address - Fax:469-454-5200
Practice Address - Street 1:101 KENYA ST STE 106108
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2806
Practice Address - Country:US
Practice Address - Phone:469-575-0412
Practice Address - Fax:469-575-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2018-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care