Provider Demographics
NPI:1356190730
Name:SHRI KRISHNA ADULT DAY CARE LLC
Entity type:Organization
Organization Name:SHRI KRISHNA ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MRUNALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:CALA
Authorized Official - Phone:732-476-4370
Mailing Address - Street 1:70 POND LILY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-1106
Mailing Address - Country:US
Mailing Address - Phone:203-800-4098
Mailing Address - Fax:203-800-4097
Practice Address - Street 1:70 POND LILY AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1106
Practice Address - Country:US
Practice Address - Phone:203-800-4098
Practice Address - Fax:203-800-4097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care