Provider Demographics
NPI:1730662933
Name:DELAWARE ADULT DAYCARE LLC
Entity Type:Organization
Organization Name:DELAWARE ADULT DAYCARE LLC
Other - Org Name:DELAWARE ADULT DAYCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAYESH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-242-9305
Mailing Address - Street 1:110 CASEY LN
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3968
Mailing Address - Country:US
Mailing Address - Phone:267-242-9305
Mailing Address - Fax:
Practice Address - Street 1:28 PARKWAY CIRCLE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720
Practice Address - Country:US
Practice Address - Phone:267-242-9305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEADC-020OtherADULT DAYCARE LICENSE