Healthcare Provider Details

I. General information

NPI: 1013234822
Provider Name (Legal Business Name): WORCESTER ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2010
Last Update Date: 02/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 LAFAYETTE ST # 3&4
WORCESTER MA
01608-2135
US

IV. Provider business mailing address

81 LAFAYETTE ST UNIT 3
WORCESTER MA
01608-2135
US

V. Phone/Fax

Practice location:
  • Phone: 508-831-7500
  • Fax: 508-459-8501
Mailing address:
  • Phone: 508-831-7500
  • Fax: 508-459-8501

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: YEVGENY ZELTSER
Title or Position: OWNER
Credential:
Phone: 508-831-7500