FUENTE DE VIDA ADULT DAY CARE SERVICES, LLC is an adult day care clinic center in Hyde Park, MA. FUENTE DE VIDA ADULT DAY CARE SERVICES, LLC NPI is 1265672265. The provider is registered as an organization entity type.
The provider's business location address is:
130 BRADLEE ST
HYDE PARK, MA
ZIP 02136-226
Phone: (617) 921-1041
Fax: (617) 323-8886
The provider's authorized official is Vadim Daniel Binder .
The authorized official title is Program Director and has the following contact phone number (617) 921-1041.
The CLIA number assigned to this NPI record is 22D2096247 - other - adult day health with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/3/2009 and was last updated on 3/3/2009.