BROCKTON ADULT MEDICAL DAY CARE CENTER II INC NPI 1326429820

NPI Information

BROCKTON ADULT MEDICAL DAY CARE CENTER II, INC is an adult day care clinic center in Brockton, MA. BROCKTON ADULT MEDICAL DAY CARE CENTER II, INC NPI is 1326429820. The provider is registered as an organization entity type.

The provider's business location address is:

55 CITY HALL PLZ
BROCKTON, MA
ZIP 02301-341
Phone: (508) 586-2222
Fax: (508) 586-2212

The provider's authorized official is Michelle Bodoin .
The authorized official title is Administrator and has the following contact phone number (508) 586-2222.

The CLIA number assigned to this NPI record is 22D0886939 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2015 and was last updated on 6/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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