Provider Demographics
NPI:1245535301
Name:SPECTRUM ADULT DAY HEALTH CENTER AT NORTH ANDOVER
Entity type:Organization
Organization Name:SPECTRUM ADULT DAY HEALTH CENTER AT NORTH ANDOVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR COMMUNITY PROGRAMS
Authorized Official - Prefix:
Authorized Official - First Name:DARCEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-921-1697
Mailing Address - Street 1:600 CUMMINGS CTR
Mailing Address - Street 2:SUITE 176X
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6194
Mailing Address - Country:US
Mailing Address - Phone:978-921-5020
Mailing Address - Fax:978-739-4627
Practice Address - Street 1:1820 TURNPIKE ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6398
Practice Address - Country:US
Practice Address - Phone:978-688-3248
Practice Address - Fax:978-688-3517
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHEAST SENIOR HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care