Organization
MILLENNIUM ADULT FOSTER CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUZAN GASPARYAN (OWNER)
(617) 686-3668
Entity
Organization
Contact information
Practice address
564 MAIN ST STE 203, WALTHAM, MA 02452-5559
(617) 686-3668
Mailing address
564 MAIN ST STE 203, WALTHAM, MA 02452-5559
(617) 686-3668
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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