Provider Demographics
NPI:1518538214
Name:TWAIN ADULT DAY CARE CORPORATION
Entity Type:Organization
Organization Name:TWAIN ADULT DAY CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARAPAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-497-3986
Mailing Address - Street 1:709 TOCINO DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-2336
Mailing Address - Country:US
Mailing Address - Phone:626-497-3986
Mailing Address - Fax:
Practice Address - Street 1:855 E TWAIN AVE STE 105
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-0820
Practice Address - Country:US
Practice Address - Phone:626-497-3986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-05
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care