Provider Demographics
NPI:1891937181
Name:RAE'S PLAYZE ADULT DAY CENTER
Entity Type:Organization
Organization Name:RAE'S PLAYZE ADULT DAY CENTER
Other - Org Name:RAE'S PLAYZE ADULT DAY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:
Authorized Official - Last Name:WORKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-563-3334
Mailing Address - Street 1:7516 E INDEPENDENCE BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9414
Mailing Address - Country:US
Mailing Address - Phone:704-563-3334
Mailing Address - Fax:704-943-0559
Practice Address - Street 1:7516 E INDEPENDENCE BLVD STE 115
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-9414
Practice Address - Country:US
Practice Address - Phone:704-563-3334
Practice Address - Fax:704-943-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No385H00000XRespite Care FacilityRespite Care