Healthcare Provider Details

I. General information

NPI: 1871304998
Provider Name (Legal Business Name): LUNA'S DAY ADULT SOCIAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 BOARDMAN LN
ATTLEBORO MA
02703-5611
US

IV. Provider business mailing address

75 BOARDMAN LN
ATTLEBORO MA
02703-5611
US

V. Phone/Fax

Practice location:
  • Phone: 617-955-4373
  • Fax:
Mailing address:
  • Phone: 617-955-4373
  • 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: VIERGELIE L GASTON
Title or Position: FOUNDER & CEO
Credential:
Phone: 617-955-4373