Provider Demographics
NPI:1679956577
Name:NEW LIFE ADULT DAY CARE, INC.
Entity type:Organization
Organization Name:NEW LIFE ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIGNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-883-6298
Mailing Address - Street 1:1251 PAWTUCKET BLVD
Mailing Address - Street 2:UNIT # 5
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-1928
Mailing Address - Country:US
Mailing Address - Phone:603-883-6298
Mailing Address - Fax:
Practice Address - Street 1:1251 PAWTUCKET BLVD
Practice Address - Street 2:UNIT # 5
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-1928
Practice Address - Country:US
Practice Address - Phone:603-883-6298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care