| NPI | 1912415787 |
|---|---|
| Doing Business As | MI CASA ADHC |
| Entity Type | Organization |
| Authorized Contact | GENNADIY ITSKIN Owner 617-839-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2022-07-21 |