Organization
RAINBOW ADHC OF WALTHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA TSIDULKO (OWNER)
(301) 370-4714
Entity
Organization
Contact information
Practice address
411 WAVERLY OAK RD # 2, SUITE 214, WALTHAM, MA 02452
(301) 370-4714
Mailing address
411 WAVERLY OAKS RD STE 214, WALTHAM, MA 02452-8437
(301) 370-4714
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MA
Other
Enumeration date
04/15/2013
Last updated
06/13/2013
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