POLYCLINIC LLC NPI 1902073497

NPI Information

NPI: 1902073497
Provider Name: POLYCLINIC LLC

Doing Business As: AGINGWELL ADULT DAY HEALTH CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
420 MAPLE ST
SUITE 25
MARLBOROUGH, MA
ZIP 01752
Phone: (508) 485-7700
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POLYCLINIC LLC is an adult day care clinic center in Marlborough, MA. POLYCLINIC LLC NPI is 1902073497. The provider is registered as an organization entity type.
The provider Is Doing Business As Agingwell Adult Day Health Center.

The provider's business location address is:

420 MAPLE ST
SUITE 25
MARLBOROUGH, MA
ZIP 01752-202
Phone: (508) 485-7700

The provider's authorized official is Izabella Dashevsky .
The authorized official title is President and has the following contact phone number (508) 485-7700.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 5/13/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1906950	MEDICAID	MASSACHUSETTS

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

NPI Synchronization or Removal

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