Healthcare Provider Details

I. General information

NPI: 1629479654
Provider Name (Legal Business Name): ADULT DAY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 09/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 LINDEN ST
ALLSTON MA
02134-1711
US

IV. Provider business mailing address

313 CONGRESS ST 5TH FLOOR
BOSTON MA
02210-1218
US

V. Phone/Fax

Practice location:
  • Phone: 617-790-4803
  • Fax:
Mailing address:
  • Phone: 617-790-4841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM F. DUFFY
Title or Position: VP AND CHIEF OPERATING OFFICER
Credential:
Phone: 617-790-4841