Organization
POLYCLINIC LLC
Active
Other names
AgingWell Adult Day Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IZABELLA DASHEVSKY (PRESIDENT)
(508) 485-7700
Entity
Organization
Contact information
Practice address
420 MAPLE ST, SUITE 25, MARLBOROUGH, MA 01752-6202
(508) 485-7700
Mailing address
420 MAPLE ST, SUITE 25, MARLBOROUGH, MA 01752-6202
(508) 485-7700
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1906950
—
MA
Enumeration date
05/13/2008
Last updated
05/13/2008
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