Provider Demographics
NPI:1467004069
Name:ALLIED ADULT DAY CARE, LLC
Entity type:Organization
Organization Name:ALLIED ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BRYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-929-8525
Mailing Address - Street 1:1020 HALIFAX DR STE 102
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-6991
Mailing Address - Country:US
Mailing Address - Phone:270-689-0005
Mailing Address - Fax:270-594-0020
Practice Address - Street 1:1020 HALIFAX DR STE 102
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-6991
Practice Address - Country:US
Practice Address - Phone:270-689-0005
Practice Address - Fax:270-594-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No253Z00000XAgenciesIn Home Supportive Care