Provider Demographics
NPI:1528230562
Name:CALEB ADULT DAY HEALTH CENTER
Entity Type:Organization
Organization Name:CALEB ADULT DAY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:O
Authorized Official - Last Name:NATHAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:BS
Authorized Official - Phone:301-918-9008
Mailing Address - Street 1:4461 FORBES BLVD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4328
Mailing Address - Country:US
Mailing Address - Phone:301-918-9008
Mailing Address - Fax:301-918-4006
Practice Address - Street 1:4461 FORBES BLVD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4328
Practice Address - Country:US
Practice Address - Phone:301-918-9008
Practice Address - Fax:301-918-4006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care