Organization
FUENTE DE VIDA ADULT DAY CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VADIM DANIEL BINDER (PROGRAM DIRECTOR)
(617) 921-1041
Entity
Organization
Contact information
Practice address
130 BRADLEE ST, HYDE PARK, MA 02136-2226
(617) 921-1041
(617) 323-8886
Mailing address
130 BRADLEE ST, HYDE PARK, MA 02136-2226
(617) 921-1041
(617) 323-8886
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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