Provider Demographics
NPI:1932682788
Name:1ST OPTION SENIORS DAY HEALTCARE, INC
Entity Type:Organization
Organization Name:1ST OPTION SENIORS DAY HEALTCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLY
Authorized Official - Middle Name:ORIE
Authorized Official - Last Name:OKWARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-455-6259
Mailing Address - Street 1:6111 HARRISON STREET, P.O. BOX 11447
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410
Mailing Address - Country:US
Mailing Address - Phone:219-455-6259
Mailing Address - Fax:219-455-6318
Practice Address - Street 1:6111 HARRISON STREET
Practice Address - Street 2:SUITE 225
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410
Practice Address - Country:US
Practice Address - Phone:219-455-6259
Practice Address - Fax:219-455-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care