Healthcare Provider Details

I. General information

NPI: 1396878294
Provider Name (Legal Business Name): GOLDEN YEARS ADULT DAY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 INGELL ST
TAUNTON MA
02780-3558
US

IV. Provider business mailing address

2 ALBERTA LN
LAKEVILLE MA
02347-1864
US

V. Phone/Fax

Practice location:
  • Phone: 508-880-6626
  • Fax: 508-880-6622
Mailing address:
  • Phone: 774-213-5880
  • Fax: 774-213-5043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number1900587
License Number StateMA

VIII. Authorized Official

Name: STEVEN J LANDOLFI
Title or Position: TREASURER
Credential:
Phone: 774-240-9574