Organization
CANTON ADH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUELLE RENELIQUE (OWNER)
(617) 930-4637
Entity
Organization
Contact information
Practice address
420 TURNPIKE ST, CANTON, MA 02021-2704
(617) 930-4637
Mailing address
6 MCENELLY CIR, RANDOLPH, MA 02368-3672
(617) 930-4637
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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