Healthcare Provider Details

I. General information

NPI: 1326812934
Provider Name (Legal Business Name): BRAINTREE JOYFUL ADULT DAY HEALTH CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 BAY STATE DR
BRAINTREE MA
02184-5203
US

IV. Provider business mailing address

175 BAY STATE DR
BRAINTREE MA
02184-5203
US

V. Phone/Fax

Practice location:
  • Phone: 781-428-3156
  • Fax: 781-428-3187
Mailing address:
  • Phone: 781-428-3156
  • Fax: 781-428-3187

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: MRS. LUCY SU
Title or Position: DIRECTOR
Credential: ONWER
Phone: 781-999-2642