Organization
COMMUNITY ADULT DAYCARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY BOLOGOV (MEMBER)
(617) 285-2227
Entity
Organization
Contact information
Practice address
120 BROADWAY, LAWRENCE, MA 01840-1014
(508) 294-8756
(617) 507-7931
Mailing address
120 BROADWAY, LAWRENCE, MA 01840-1014
(508) 294-8756
(617) 507-7931
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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