Provider Demographics
NPI:1649419185
Name:DAYTOP VILLAGE, INC.
Entity Type:Organization
Organization Name:DAYTOP VILLAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.P.N.
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMELITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:845-693-4897
Mailing Address - Street 1:270 FOX CROFT VLG
Mailing Address - Street 2:
Mailing Address - City:LOCH SHELDRAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12759-5412
Mailing Address - Country:US
Mailing Address - Phone:845-693-4897
Mailing Address - Fax:
Practice Address - Street 1:270 FOX CROFT VLG
Practice Address - Street 2:
Practice Address - City:LOCH SHELDRAKE
Practice Address - State:NY
Practice Address - Zip Code:12759-5412
Practice Address - Country:US
Practice Address - Phone:845-693-4897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275488-1324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility