Organization
FAMILY ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANI MADAMINOVA (ADMINISTRATOR)
(201) 798-7600
Entity
Organization
Contact information
Practice address
455 MEADOW LN, CARLSTADT, NJ 07072-3006
(845) 399-5544
(201) 526-0477
Mailing address
455 MEADOW LN, CARLSTADT, NJ 07072-3006
(845) 399-5544
(201) 526-0477
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
12/27/2022
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