Organization
VITRA ADULT DAY HEALTH I, LLC
Active
Other names
Vitra Adult Day Health
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SPIVAK (MANAGER)
(508) 594-8288
Entity
Organization
Contact information
Practice address
10 N PEARL ST, BROCKTON, MA 02301-1708
(508) 594-8708
Mailing address
10 N PEARL ST, BROCKTON, MA 02301-1708
(508) 594-8708
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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