OrganizationActive
411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452
NPI 1902169105 · Adult Day Care Clinic/Center · Waltham, MA
Provider details
- NPI number
- 1902169105
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wolf Gafanovich, Clinical Director(617) 513-2158
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
411 Waverly Oaks Rd
Waltham, MA 02452-8448
Phone: (617) 513-2158
Fax: (617) 206-3195
Approximate (ZIP-level) locationGet directions
Mailing address
411 Waverly Oaks Rd Ste 214
Waltham, MA 02452-8437
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2012-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.