Provider Demographics
NPI:1235362138
Name:HARTWELL HEALTHCARE LLC
Entity Type:Organization
Organization Name:HARTWELL HEALTHCARE LLC
Other - Org Name:LIVINGWELL ADULT DAY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IZABELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DASHEVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-485-7700
Mailing Address - Street 1:420 MAPLE ST STE 25
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-6202
Mailing Address - Country:US
Mailing Address - Phone:508-485-7700
Mailing Address - Fax:508-485-7702
Practice Address - Street 1:125 HARTWELL ST
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-2409
Practice Address - Country:US
Practice Address - Phone:508-485-7700
Practice Address - Fax:508-485-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care