Provider Demographics
NPI:1881019834
Name:ELDER AND ADULT DAY SERVICES
Entity Type:Organization
Organization Name:ELDER AND ADULT DAY SERVICES
Other - Org Name:EADS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRADT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:425-250-7038
Mailing Address - Street 1:12831 NE 21ST PL
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1909
Mailing Address - Country:US
Mailing Address - Phone:425-250-7030
Mailing Address - Fax:425-881-8578
Practice Address - Street 1:12831 NE 21ST PL
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1909
Practice Address - Country:US
Practice Address - Phone:425-250-7030
Practice Address - Fax:425-881-8578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services