Rainbow Adhc Of Neponset River, LLC
Clinic/Center, Adult Day Care in Waltham, MA. Organization (NPI-2).
NPI number1841007994
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1841007994
- Entity type
- Organization (NPI-2)
- Legal business name
- Rainbow Adhc Of Neponset River, LLC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2024
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
Practice location
375 Totten Pond Rd Ste 300Waltham, MA 02451-2048
Phone 301-370-4714
Mailing address
60 Hill Top StDorchester, MA 02124-5811
Phone 301-370-4714
Authorized official
Victoria Vinokur
Member
3013704714
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