NPI | 1184600660 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT P DURANTE CFO 781-715-6620 |
Organization Subpart ? | No |
Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: MA 1902601) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2005-12-16 |
Last Update Date | 2014-06-23 |