Organization
NORTHEAST ADULT DAY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADA RUBARKH R.N. (PRESIDENT)
(215) 671-0200
Entity
Organization
Contact information
Practice address
11048 RENNARD ST, PHILADELPHIA, PA 19116-2618
(215) 671-0200
(215) 671-0686
Mailing address
11048 RENNARD ST, PHILADELPHIA, PA 19116-2618
(215) 671-0200
(215) 671-0686
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
313010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007686610004
—
PA
Enumeration date
12/01/2006
Last updated
08/22/2020
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