Organization
AWAKENING EXCELLENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUELLE RENELIQUE (OWNER)
(617) 930-4637
Entity
Organization
Contact information
Practice address
1208A VFW PKWY, SUITE 7, WEST ROXBURY, MA 02132-4338
(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
12/28/2013
Last updated
07/17/2019
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