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SOUTH SHORE ADULT DAY HEALTH CENTER LLC NPI 1649612003


NPI Information

NPI: 1649612003
Provider Name: SOUTH SHORE ADULT DAY HEALTH CENTER LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
189 BELMONT ST
BROCKTON, MA
ZIP 02301
Phone: (617) 733-5159
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SOUTH SHORE ADULT DAY HEALTH CENTER LLC is an adult day care clinic center in Brockton, MA. SOUTH SHORE ADULT DAY HEALTH CENTER LLC NPI is 1649612003. The provider is registered as an organization entity type.

The provider's business location address is:

189 BELMONT ST
BROCKTON, MA
ZIP 02301-159
Phone: (617) 733-5159

The provider's authorized official is Idelie Jean Baptiste .
The authorized official title is Ceo and has the following contact phone number (617) 733-5159.

The enumeration date for this NPI number is 7/25/2013 and was last updated on 7/25/2013.


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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