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1932566056
MEDFORD ADHC
MEDFORD, MA
NPI
1932566056
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Entity Type
Organization
Authorized Contact
GENNADIY ITSKIN
Owner
617-839-8299
Organization Subpart ?
No
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
Enumeration Date
2016-01-20
Last Update Date
2016-01-20
Business Address
MEDFORD ADHC
101 MYSTIC AVE
MEDFORD, MA 02155-4628
Phone number: 617-839-8299
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Mailing Address
MEDFORD ADHC
101 MYSTIC AVE
MEDFORD, MA 02155-4628
Phone number: 617-839-8299
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