CARSON ADULT DAY HEALTH CARE CENTERINC. NPI 1992993661

NPI Information

CARSON ADULT DAY HEALTH CARE CENTER,INC. is an adult day care clinic center in Carson, CA. CARSON ADULT DAY HEALTH CARE CENTER,INC. NPI is 1992993661. The provider is registered as an organization entity type.
The provider Is Doing Business As C & C Carson Adult Day Health Care Center.

The provider's business location address is:

451 E CARSON PLAZA DR
SUITE 105
CARSON, CA
ZIP 90746-247
Phone: (310) 354-0031
Fax: (310) 354-3939

The provider's authorized official is Emma Fajardo Castaneda .
The authorized official title is Program Director and has the following contact phone number (310) 354-0078.

The CLIA number assigned to this NPI record is 05D0983449 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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