Organization
2ND HOME ADULT DAY HEALTH CARE II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW FELDMAN (CEO)
(617) 584-0258
Entity
Organization
Contact information
Practice address
51 WATER ST, WATERTOWN, MA 02472-4603
(617) 924-1212
(617) 924-1228
Mailing address
51 WATER ST, WATERTOWN, MA 02472-4603
(617) 924-1212
(617) 924-1228
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1900277
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900277
—
MA
Enumeration date
02/21/2007
Last updated
06/13/2008
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