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Organization
AVIVA CARE
Active
Organization
AVIVA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WOLF GAFANOVICH RN (PRESIDENT/CLINICAL DIRECTOR)
(617) 513-2158
Entity
Organization
Contact information
Practice address
30 BONTEMPO RD, NEWTON, MA 02459
(617) 513-2158
Mailing address
30 BONTEMPO RD, NEWTON, MA 02459-3640
(617) 513-2158
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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