Organization
SOLEY LEVE ADULT DAY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RISVEY SAINTINE (EXECUTIVE DIRECTOR)
(857) 247-8483
Entity
Organization
Contact information
Practice address
61 PLEASANT ST, RANDOLPH, MA 02368-4137
(617) 905-0341
(617) 419-1129
Mailing address
61 PLEASANT ST, RANDOLPH, MA 02368-4137
(617) 905-0341
(617) 419-1129
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001348324
CORPORATION DIVISION ID NUMBER OF SECRETARY OF THE COMMONWEALTH MASSACHUSETTS
MA
Enumeration date
02/07/2019
Last updated
02/07/2019
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