Organization
LINA ADULT DAY CARE - COMMUNITY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL GOLOVYAN (OPERATING MANAGER)
(203) 288-4505
Entity
Organization
Contact information
Practice address
119 SANFORD ST, HAMDEN, CT 06514-1724
(203) 288-4505
(203) 288-1822
Mailing address
119 SANFORD ST, HAMDEN, CT 06514-1724
(203) 288-4505
(203) 288-1822
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4228484
PROVIDER NUMBER
CT
Enumeration date
04/10/2007
Last updated
08/22/2020
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