Provider Demographics
NPI:1326812934
Name:BRAINTREE JOYFUL ADULT DAY HEALTH CARE CENTER LLC
Entity Type:Organization
Organization Name:BRAINTREE JOYFUL ADULT DAY HEALTH CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SU
Authorized Official - Suffix:
Authorized Official - Credentials:ONWER
Authorized Official - Phone:781-999-2642
Mailing Address - Street 1:175 BAY STATE DR
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-5203
Mailing Address - Country:US
Mailing Address - Phone:781-428-3156
Mailing Address - Fax:781-428-3187
Practice Address - Street 1:175 BAY STATE DR
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-5203
Practice Address - Country:US
Practice Address - Phone:781-428-3156
Practice Address - Fax:781-428-3187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care