Provider Demographics
NPI:1750823837
Name:WAKE FOREST ADULT DAY HEALTH INC.
Entity Type:Organization
Organization Name:WAKE FOREST ADULT DAY HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ADEWUNMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-880-4278
Mailing Address - Street 1:3309 ROGERS RD
Mailing Address - Street 2:SUITE 117
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-3943
Mailing Address - Country:US
Mailing Address - Phone:919-880-4278
Mailing Address - Fax:
Practice Address - Street 1:3309 ROGERS RD
Practice Address - Street 2:SUITE 117
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-3943
Practice Address - Country:US
Practice Address - Phone:919-880-4278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care