Provider Demographics
NPI:1851974869
Name:ALICE'S PLACE ADULT DAY CARE
Entity Type:Organization
Organization Name:ALICE'S PLACE ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:478-718-7331
Mailing Address - Street 1:3780 NAPIER AVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-2753
Mailing Address - Country:US
Mailing Address - Phone:478-254-7171
Mailing Address - Fax:478-254-9736
Practice Address - Street 1:3780 NAPIER AVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-2753
Practice Address - Country:US
Practice Address - Phone:478-254-7171
Practice Address - Fax:478-254-9736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care