Organization
2ND HOME ADHC, LLC DBA AREVIK ADHC
Active
Organization
2ND HOME ADHC, LLC DBA AREVIK ADHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INNA PROSHAK (MANAGER)
(323) 854-0678
Entity
Organization
Contact information
Practice address
51 WATER ST UNIT B, WATERTOWN, MA 02472-4611
(617) 924-1212
(617) 924-1228
Mailing address
51 WATER ST UNIT B, WATERTOWN, MA 02472-4611
(617) 924-1212
(617) 924-1228
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1907069
PROVIDER NUMBER
—
Enumeration date
02/20/2009
Last updated
02/20/2009
Update your record
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