Provider Demographics
NPI:1205156270
Name:RENDEZVOUS SENIOR DAY SERVICES INC.
Entity type:Organization
Organization Name:RENDEZVOUS SENIOR DAY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:DEGROOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-247-1961
Mailing Address - Street 1:2441 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-5801
Mailing Address - Country:US
Mailing Address - Phone:907-247-1961
Mailing Address - Fax:907-247-1963
Practice Address - Street 1:2441 1ST AVE
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5801
Practice Address - Country:US
Practice Address - Phone:907-247-1961
Practice Address - Fax:907-247-1963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care