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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