Organization
BEAUTIFUL LIFE ADULT DAY CARE LLC
Active
Organization
BEAUTIFUL LIFE ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA RAKHMAN (CEO)
(203) 707-1911
Entity
Organization
Contact information
Practice address
135 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2332
(203) 707-1911
Mailing address
33 WOODSIDE DR, WOODBRIDGE, CT 06525-2036
(917) 674-5788
(718) 569-6858
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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