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Organization

MARY IMMACULATE ADULT DAY HEALTH CENTER, INC.

Active
Other names
MI ADHC Satte lite
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA E. GRANT (CEO/PRESIDENT)
(978) 685-6321
Entity
Organization

Contact information

Practice address
200 ESSEX ST, LAWRENCE, MA 01840-1512
(978) 685-2727
Mailing address
172 LAWRENCE ST, LAWRENCE, MA 01841-3849
(978) 685-6321
(978) 675-0050

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1903667
MA
01
6000235
EVERCARE
MA
Enumeration date
02/23/2007
Last updated
07/28/2008
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