Provider Demographics
NPI:1508646662
Name:ANGEL STAR ADULT DAY CARE CENTER OF CHELTENHAM LLC
Entity Type:Organization
Organization Name:ANGEL STAR ADULT DAY CARE CENTER OF CHELTENHAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANILAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:267-690-4078
Mailing Address - Street 1:1 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-2201
Mailing Address - Country:US
Mailing Address - Phone:267-690-4078
Mailing Address - Fax:
Practice Address - Street 1:1 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-2201
Practice Address - Country:US
Practice Address - Phone:267-690-4078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care