Organization
ELMWOOD ADULT DAY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGOR YATSKAR P.T. (PRESIDENT)
(617) 442-3462
Entity
Organization
Contact information
Practice address
209 ELMWOOD AVE, PROVIDENCE, RI 02907-1460
(401) 421-6300
(401) 459-4005
Mailing address
70 WARREN ST, SUITE 8, ROXBURY, MA 02119-3248
(617) 442-3462
(617) 445-7874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
163WC0400X
Case Management Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225100000X
Physical Therapist
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2009
Last updated
03/24/2010
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