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General NPI Number Information
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NPI Number | 1205780475
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Entity Type | Organization
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Legal Business Name | GRACEFUL ADULT DAY HEALTH PROGRAM INC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 550 TURNPIKE ST
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City | CANTON
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State | MA
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Zip | 02021-2725
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Country | US
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Telephone | 617-780-6838
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Fax |
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Provider Business Mailing Address
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Address Line | 550 TURNPIKE ST
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City | CANTON
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State | MA
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Zip | 02021-2725
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Country | US
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Telephone | 617-780-6838
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. QUEEN E WOGHIREN
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Credential | RN
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Telephone | 617-780-6838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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