Organization
FUENTE DE VIDA ADULT DAY CARE SERVICES, LLC
Active
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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