Organization
BROCKTON ADULT DAY CARE, LLC
Active
Organization
BROCKTON ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISSIE SCHETTINI (PROGRAM DIRECTOR)
(508) 294-8756
Entity
Organization
Contact information
Practice address
764 N MAIN ST, BROCKTON, MA 02301-2443
(508) 897-0600
Mailing address
764 N MAIN ST, BROCKTON, MA 02301-2443
(508) 897-0600
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1906739
—
MA
Enumeration date
02/18/2008
Last updated
02/18/2008
Update your record
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