Organization · Type 2 NPI

Away From Home Adult Day Care, LLC

Adult Day Care Clinic/Center · Port Jefferson Station, NY

NPI number 1316383086 Active

Practice location

1660 Route 112, Suite G
Port Jefferson Station, NY 11776-8057

Call (631) 743-9200 Map

Fax (631) 743-9203

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed
Alzheimer Center (Dementia Center) 311500000XNone listed

Adult Day Care Clinic/Center: Definition to come...

About NPI 1316383086

Away From Home Adult Day Care, LLC's National Provider Identifier is 1316383086, issued on May 21, 2013. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Aug 11, 2014.