Provider Demographics
NPI:1003806639
Name:SARAH'S PLACE ADULT DAY HEALTH CENTER
Entity Type:Organization
Organization Name:SARAH'S PLACE ADULT DAY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANWYL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:978-374-2175
Mailing Address - Street 1:180 WATER ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6216
Mailing Address - Country:US
Mailing Address - Phone:978-374-2175
Mailing Address - Fax:978-373-4369
Practice Address - Street 1:180 WATER ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6216
Practice Address - Country:US
Practice Address - Phone:978-374-2175
Practice Address - Fax:978-373-4369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1904493261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1904493Medicaid