Provider Demographics
NPI:1578819710
Name:CIS AFFORDABLE LLC
Entity Type:Organization
Organization Name:CIS AFFORDABLE LLC
Other - Org Name:CLARE'S CORNER ADULT SOCIAL DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGLIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-298-2229
Mailing Address - Street 1:1970 BRUNSWICK AVENUE - SUITE 100
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648
Mailing Address - Country:US
Mailing Address - Phone:609-298-2229
Mailing Address - Fax:
Practice Address - Street 1:201 CROSSWICKS ST
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-1740
Practice Address - Country:US
Practice Address - Phone:609-298-2229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care