Organization
DAY AT A TIME
Active
Organization
DAY AT A TIME
Active
Parent organization
SCHERVIER PAVILION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCHERVIER PAVILION
Authorized official
MRS. LISA BROCKY (ADMINISTRATOR)
(845) 987-5710
Entity
Organization
Contact information
Practice address
22 VAN DUZER PL, WARWICK, NY 10990-1014
(845) 987-5710
(845) 987-1398
Mailing address
22 VAN DUZER PL, WARWICK, NY 10990-1014
(845) 987-5710
(845) 987-1398
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01901308
—
NY
Enumeration date
09/12/2006
Last updated
01/12/2013
Update your record
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