Provider Demographics
NPI:1134421472
Name:SWEET HOME ADC INC. SOCIAL DAYCARE PROGRAM
Entity type:Organization
Organization Name:SWEET HOME ADC INC. SOCIAL DAYCARE PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DONADIO
Authorized Official - Suffix:
Authorized Official - Credentials:CALA
Authorized Official - Phone:973-478-4200
Mailing Address - Street 1:45 E MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2381
Mailing Address - Country:US
Mailing Address - Phone:973-478-4200
Mailing Address - Fax:973-478-2018
Practice Address - Street 1:45 E MADISON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2381
Practice Address - Country:US
Practice Address - Phone:973-478-4200
Practice Address - Fax:973-478-2018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care