Provider Demographics
NPI:1659877058
Name:MATAWAN ADULT DAY CARE, LLC
Entity Type:Organization
Organization Name:MATAWAN ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENGERLE
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:732-391-8100
Mailing Address - Street 1:3996 COUNTY RD 516 STE 101
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-7017
Mailing Address - Country:US
Mailing Address - Phone:732-391-8100
Mailing Address - Fax:
Practice Address - Street 1:3996 COUNTY RD 516 STE 101
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-7017
Practice Address - Country:US
Practice Address - Phone:732-391-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care