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General NPI Number Information
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NPI Number | 1528635794
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Entity Type | Organization
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Legal Business Name | GRACIOUS HOME ADULT DAY HEALTH CARE CENTER, LLC
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2 RAY AVE
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City | BURLINGTON
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State | MA
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Zip | 01803-4721
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Country | US
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Telephone | 781-698-5627
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Fax | 781-362-0360
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Provider Business Mailing Address
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Address Line | 2 RAY AVE
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City | BURLINGTON
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State | MA
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Zip | 01803-4721
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LEI JING
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Credential |
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Telephone | 781-698-5627
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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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