Organization
LYNN ZABOTA ADULT DAY CARE, INC.
Active
Organization
LYNN ZABOTA ADULT DAY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENNADIY ITSKIN (PROGRAM DIRECTOR)
(617) 839-8299
Entity
Organization
Contact information
Practice address
80 EXCHANGE ST, LYNN, MA 01901-1443
(781) 595-3200
(781) 595-3207
Mailing address
80 EXCHANGE ST, LYNN, MA 01901-1443
(781) 595-3200
(781) 595-3207
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1906712
—
MA
Enumeration date
07/13/2007
Last updated
08/29/2019
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