Rainbow Adhc Of Waltham
Clinic/Center, Adult Day Care in Waltham, MA. Organization (NPI-2).
NPI number1801239397
StatusActive
Last updated in NPPESJun 13, 2013
Details
- NPI
- 1801239397
- Entity type
- Organization (NPI-2)
- Legal business name
- Rainbow Adhc Of Waltham
- Organization subpart
- No
- Enumeration date
- Apr 15, 2013
- Last updated
- Jun 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | MA | Yes |
Practice location
411 Waverly Oak Rd # 2, Suite 214Waltham, MA 02452
Phone 301-370-4714
Mailing address
411 Waverly Oaks Rd Ste 214Waltham, MA 02452-8437
Phone 301-370-4714
Authorized official
Victoria Tsidulko
Owner
3013704714
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