Healthcare Provider Details

I. General information

NPI: 1609985225
Provider Name (Legal Business Name): BROOKFIELD ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

397 COUNTY STREET
NEW BEDFORD MA
02740-4998
US

IV. Provider business mailing address

51 SUMMER STREET
ROWLEY MA
01969-1833
US

V. Phone/Fax

Practice location:
  • Phone: 508-997-9396
  • Fax: 508-990-3336
Mailing address:
  • Phone:
  • 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: DEBORAH KLOCK
Title or Position: PRESIDENT
Credential:
Phone: 978-948-7383