Provider Demographics
NPI:1144470089
Name:NORTH SHORE ADULT DAY HEALTH CARE CENTER LLC
Entity type:Organization
Organization Name:NORTH SHORE ADULT DAY HEALTH CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEARL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-584-4524
Mailing Address - Street 1:191 N COMMON ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01905-2547
Mailing Address - Country:US
Mailing Address - Phone:781-595-4888
Mailing Address - Fax:781-595-7100
Practice Address - Street 1:191 N COMMONS ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01905
Practice Address - Country:US
Practice Address - Phone:781-595-4888
Practice Address - Fax:781-595-7100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care