Provider Demographics
NPI:1689984825
Name:NEW BEGINNINGS ADULT DAY CARE SERVICES, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS ADULT DAY CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ANDERSON-MCCOOL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-656-0340
Mailing Address - Street 1:562 LINE ST S STE 16
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:MS
Mailing Address - Zip Code:39350-2144
Mailing Address - Country:US
Mailing Address - Phone:601-656-0340
Mailing Address - Fax:601-656-0342
Practice Address - Street 1:562 LINE ST S
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:MS
Practice Address - Zip Code:39350-2144
Practice Address - Country:US
Practice Address - Phone:601-656-0340
Practice Address - Fax:601-656-0342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care