Organization
VILAJ LAJWA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADY VINOKUR (OWNER)
(301) 370-4714
Entity
Organization
Contact information
Practice address
1208 VFW PKWY, WEST ROXBURY, MA 02132
(978) 930-9410
Mailing address
1208 VFW PKWY, WEST ROXBURY, MA 02132-4344
(978) 930-9410
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
05/21/2018
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