Organization · Type 2 NPI
Mi Casa Es Su Casa II
Adult Day Care Clinic/Center · Ridgewood, NJ
NPI number
1225228299
Active
Practice location
30 S Maple Ave
Ridgewood, NJ 07450-4508
Fax (201) 652-0194
Mailing address
6120 Buchanan Pl
West New York, NJ 07093-2915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | NJ09001 (NJ) |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1225228299
Mi Casa Es Su Casa II's National Provider Identifier is 1225228299, issued on Jul 26, 2007. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Ridgewood, NJ. The record was last updated on Jul 26, 2007.