Healthcare Provider Details
I. General information
NPI: 1033449335
Provider Name (Legal Business Name): NEW HORIZON ADULT DAY HEALTH,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2010
Last Update Date: 01/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
555 CHASE RD SUITE A
LUNENBURG MA
01462-1721
US
IV. Provider business mailing address
172 RIDGEWOOD DR
LEOMINSTER MA
01453-3445
US
V. Phone/Fax
- Phone: 978-537-6505
- Fax: 978-537-6564
- Phone: 978-537-6505
- Fax: 978-537-6564
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ELIZABETH
GRACE
MUTURI
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 978-537-6505