NPI | 1295022978 |
---|---|
Other Name | FUNTIONAL LIFE ACHIEVEMENT INC. |
Entity Type | Organization |
Authorized Contact | ALICIA WANG Speeh Language Pathologist 617-663-7023 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 021023) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MA 7941) |
Enumeration Date | 2011-07-01 |
Last Update Date | 2011-12-06 |