Organization
RENAISSANCE ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DMITRY BURSHTEYN (MEMBER)
(508) 925-0389
Entity
Organization
Contact information
Practice address
1040 SOUTHBRIDGE STREET, WORCESTER, MA 01610
(508) 925-0389
(508) 258-9767
Mailing address
1040 SOUTHBRIDGE STREET, WORCESTER, MA 01610
(508) 925-0389
(508) 258-9767
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2011
Last updated
01/12/2015
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