Healthcare Provider Details

I. General information

NPI: 1285108118
Provider Name (Legal Business Name): RMG ADULT DAY HEALTH CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2019
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11-15 SANDERSDALE ROAD
SOUTHBRIDGE MA
01550
US

IV. Provider business mailing address

11-15 SANDERSDALE ROAD
SOUTHBRIDGE MA
01550
US

V. Phone/Fax

Practice location:
  • Phone: 774-420-2311
  • Fax: 508-519-0763
Mailing address:
  • Phone: 774-318-1400
  • Fax: 508-462-0287

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: LISSETTE GUZMAN
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 774-318-1400