Organization
BROADWAY ADULT MEDICAL DAY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERROL SELTZER (ADMINISTRATOR)
(201) 797-1177
Entity
Organization
Contact information
Practice address
24-20 BROADWAY, FAIR LAWN, NJ 07410-3057
(201) 797-1177
(201) 796-3344
Mailing address
24-20 BROADWAY, FAIR LAWN, NJ 07410-3057
(201) 797-1177
(201) 796-3344
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
YT613N
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8803404
—
NJ
Enumeration date
02/02/2007
Last updated
08/22/2020
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