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VITRA ADULT DAY HEALTH I LLC NPI 1639718596


NPI Information

NPI: 1639718596
Provider Name: VITRA ADULT DAY HEALTH I, LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
10 N PEARL ST
BROCKTON, MA
ZIP 02301
Phone: (508) 594-8708
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VITRA ADULT DAY HEALTH I, LLC is an adult day care clinic center in Brockton, MA. VITRA ADULT DAY HEALTH I, LLC NPI is 1639718596. The provider is registered as an organization entity type.

The provider's business location address is:

10 N PEARL ST
BROCKTON, MA
ZIP 02301-708
Phone: (508) 594-8708

The provider's authorized official is Edward Spivak .
The authorized official title is Manager and has the following contact phone number (508) 594-8288.

The enumeration date for this NPI number is 12/24/2019 and was last updated on 12/24/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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