Organization
IMMACULA ELDERLY CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD PIERRE (PASTOR)
(781) 391-1002
Entity
Organization
Contact information
Practice address
55 OTIS ST, MEDFORD, MA 02155-4017
(857) 266-5345
Mailing address
26 COLUMBIA RD, MEDFORD, MA 02155-4507
(857) 266-5345
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MA
Other
Enumeration date
04/08/2015
Last updated
07/21/2022
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