Provider Demographics
NPI:1487904793
Name:EDNA L. ROKER SOCIAL ADULT DAY CENTER INC.
Entity type:Organization
Organization Name:EDNA L. ROKER SOCIAL ADULT DAY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:ROKER
Authorized Official - Last Name:HORSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:914-761-3885
Mailing Address - Street 1:311 NORTH STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-761-3885
Mailing Address - Fax:914-761-4972
Practice Address - Street 1:311 NORTH STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-761-3885
Practice Address - Fax:914-761-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care