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General NPI Number Information
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NPI Number | 1447770524
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Entity Type | Organization
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Legal Business Name | ADULT DAY HEALTH, INC.
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 25 CHRISTY DR
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City | BROCKTON
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State | MA
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Zip | 02301-1813
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Country | US
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Telephone | 508-586-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 FRANCE AVE S STE 350
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City | EDINA
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State | MN
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Zip | 55435-1810
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Country | US
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Telephone | 508-618-7952
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Fax | 774-215-5708
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Authorized Official
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Title or Position | VPQI
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Name | SUSAN R REDD-GARCELON
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Credential | RN
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Telephone | 508-618-7952
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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 | MA
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