Organization
AFFINITY AFC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADISLAV VILKOMIR (MANAGER)
(617) 777-7050
Entity
Organization
Contact information
Practice address
101 MYSTIC AVE, MEDFORD, MA 02155-4628
(617) 777-7050
Mailing address
301 ELLIOT ST, NEWTON, MA 02464-1201
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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