Provider Demographics
NPI:1033246491
Name:BUTTONWOODS PLACE ADULT DAY HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:BUTTONWOODS PLACE ADULT DAY HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-372-8734
Mailing Address - Street 1:PO BOX 1626
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01831-2226
Mailing Address - Country:US
Mailing Address - Phone:978-372-8734
Mailing Address - Fax:978-521-2224
Practice Address - Street 1:75 HIGH ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-5434
Practice Address - Country:US
Practice Address - Phone:978-373-1584
Practice Address - Fax:978-373-0860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1900269372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1900269Medicaid