Provider Demographics
NPI:1366767527
Name:ADDITIONAL DAY CARE INC
Entity type:Organization
Organization Name:ADDITIONAL DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-478-1537
Mailing Address - Street 1:224 WORCESTER PL
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48203-5224
Mailing Address - Country:US
Mailing Address - Phone:313-478-1537
Mailing Address - Fax:313-732-4959
Practice Address - Street 1:224 WORCESTER PL
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48203-5224
Practice Address - Country:US
Practice Address - Phone:313-478-1537
Practice Address - Fax:313-732-4959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care