Provider Demographics
NPI:1669828950
Name:PLAZA ADULT DAY CARE
Entity Type:Organization
Organization Name:PLAZA ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITU
Authorized Official - Middle Name:
Authorized Official - Last Name:CHITKARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-308-0716
Mailing Address - Street 1:3 BLACK WALNUT WAY
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2047
Mailing Address - Country:US
Mailing Address - Phone:732-308-0716
Mailing Address - Fax:
Practice Address - Street 1:3 BLACK WALNUT WAY
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-2047
Practice Address - Country:US
Practice Address - Phone:732-308-0716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care