Organization
MARY IMMACULATE ADULT DAY HEALTH II
Active
Parent organization
MARY IMMACULATE HEALTH/CARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY IMMACULATE HEALTH/CARE SERVICES
Authorized official
MS. BARBARA GRANT (PRESIDENT / CEO)
(978) 685-6321
Entity
Organization
Contact information
Practice address
193 MAPLE ST, LAWRENCE, MA 01841-3763
(978) 682-7575
Mailing address
172 LAWRENCE ST, LAWRENCE, MA 01841-3849
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110032662C
—
MA
Enumeration date
05/24/2011
Last updated
05/24/2011
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