| 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 |