| NPI | 1407672900 |
|---|---|
| Former Legal Business Name | ANDRES ADULT DAY PROGRAM LLC |
| Entity Type | Organization |
| Authorized Contact | SHARY PENA Owner 857-249-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-12-06 |