Elderclub Port Richey Inc.
NPI #1124881180 in Port Richey, Florida
Provider Information
- NPI Number
- 1124881180
- Entity Type
- Organization
- Organization Name
- Elderclub Port Richey Inc.
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Feb 2, 2024
- Last Updated
- Feb 8, 2024
Practice Location
- Address
- 9735 US HIGHWAY 19
- City
- Port Richey
- State
- Florida
- ZIP Code
- 34668-3846
- Phone
- (727) 484-7199
Authorized Official
- Name
- VIVAKE ABRAHAM
- Title
- OWNER
- Phone
- (813) 406-0044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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