Organization
CALVARY BAPTIST ADULT MEDICAL DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVETTE MICHELLE SMITH CALA (ASSOCIATE ADMINISTRATOR)
(973) 977-9100
Entity
Organization
Contact information
Practice address
575 E 18TH ST, PATERSON, NJ 07514-2624
(973) 977-9100
(973) 977-2023
Mailing address
575 E 18TH ST, PATERSON, NJ 07514-2624
(973) 977-9100
(973) 977-2023
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
708117
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147559
—
NJ
Enumeration date
06/20/2008
Last updated
06/20/2008
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