Organization
BROCKTON ADULT MEDICAL DAY CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE A CASTRONOVO (ADMINISTRATOR)
(508) 586-2222
Entity
Organization
Contact information
Practice address
25 CHRISTY DR, BROCKTON, MA 02301-1813
(508) 586-2222
(508) 586-2212
Mailing address
25 CHRISTY DR, BROCKTON, MA 02301-1813
(508) 586-2222
(508) 586-2212
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1949667
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949667
—
MA
Enumeration date
03/21/2007
Last updated
08/22/2020
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