Provider Demographics
NPI:1871236745
Name:BRISTOL ADULT DAY CENTER LLC
Entity Type:Organization
Organization Name:BRISTOL ADULT DAY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HIMANSHU
Authorized Official - Middle Name:I
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-632-8585
Mailing Address - Street 1:1278 VETERANS HIGHWAY
Mailing Address - Street 2:SUITE E-2
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007
Mailing Address - Country:US
Mailing Address - Phone:267-474-4892
Mailing Address - Fax:267-263-3442
Practice Address - Street 1:1278 VETERANS HIGHWAY
Practice Address - Street 2:SUITE E-2
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007
Practice Address - Country:US
Practice Address - Phone:267-774-7677
Practice Address - Fax:267-263-3442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care