Organization
ADULT DAY HEALTH, INC.
Active
Other names
Long Life Adult Day Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN R REDD-GARCELON RN (VP QUALITY IMPROVEMENT)
(508) 618-7952
Entity
Organization
Contact information
Practice address
9075 GUILFORD RD, COLUMBIA, MD 21046-3145
(443) 276-3088
Mailing address
225 FOXBOROUGH BLVD STE 103, FOXBOROUGH, MA 02035-3062
(508) 618-7952
(774) 215-5708
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-009
STATE OPERATING LICENSE
MD
01
—
21D2029565
CLIA
MD
Enumeration date
02/24/2016
Last updated
02/03/2023
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