Away From Home Senior Day Care
NPI #1720326077 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1720326077
- Entity Type
- Organization
- Organization Name
- Away From Home Senior Day Care
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Jan 22, 2013
- Last Updated
- Jan 22, 2013
Practice Location
- Address
- 1500 ROUTE 112
- Address 2
- BUILDING 6, SUITE A
- State
- New York
- ZIP Code
- 11776-8054
- Phone
- (917) 796-5622
Authorized Official
- Name
- MRS. ELISA MIRIAM BELLIDO
- Title
- CEO
- Phone
- (917) 796-5622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
| Alzheimer Center (Dementia Center) |
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