Organization
STAY WELL AHDC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STELLA KREMENCHUGSKY (PROGRAM DIRECTOR)
(781) 718-8472
Entity
Organization
Contact information
Practice address
45 CONGRESS ST, SALEM, MA 01970-5579
(978) 825-0202
Mailing address
45 CONGRESS ST, SALEM, MA 01970-5579
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1904591
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1904591
—
MA
Enumeration date
02/12/2007
Last updated
07/11/2008
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