Individual
DAYQUANA HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
471 CHESTNUT ST, SPRINGFIELD, MA 01107-2007
(413) 733-1431
Mailing address
471 CHESTNUT ST, SPRINGFIELD, MA 01107-2007
(413) 733-1431
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN1000988
MA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
LN1000988
MA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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