Healthcare Provider Details

I. General information

NPI: 1295079457
Provider Name (Legal Business Name): CAREPRO ADULT DAY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2012
Last Update Date: 11/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 PLEASANT ST
WEYMOUTH MA
02190-2526
US

IV. Provider business mailing address

153 PLEASANT ST
WEYMOUTH MA
02190-2526
US

V. Phone/Fax

Practice location:
  • Phone: 781-340-7811
  • Fax:
Mailing address:
  • Phone: 781-340-7811
  • 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: MS. NOREEN MARIE FLANAGAN
Title or Position: DIRECTOR
Credential: RN
Phone: 781-340-7811