Organization
MARY IMMACULATE ADULT DAY HEALTH CENTER, INC.
Active
Organization
MARY IMMACULATE ADULT DAY HEALTH CENTER, INC.
Active
Other names
MI ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA E. GRANT (CEO/PRESIDENT)
(978) 685-6321
Entity
Organization
Contact information
Practice address
189 MAPLE ST, LAWRENCE, MA 01841-3761
(978) 682-7575
(978) 691-5374
Mailing address
172 LAWRENCE ST, LAWRENCE, MA 01841-3849
(978) 685-6321
(978) 975-0050
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1901141
—
MA
05
—
1903667
—
MA
01
—
6000235
EVERCARE
MA
Enumeration date
09/30/2005
Last updated
08/06/2008
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