Commonwealth Of Mass - Dds in Hathorne - Intermediate Care Facility, Mental Illness
Commonwealth Of Mass - Dds - NPI 1598957391
Commonwealth Of Mass - Dds is a Intermediate Care Facility, Mental Illness in Hathorne, Massachusetts. Commonwealth Of Mass - Dds practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Commonwealth Of Mass - Dds is 1598957391. The last update date is 2009-10-06.
Commonwealth Of Mass - Dds's current location address is 450 Maple Street, Hathorne, Massachusetts. You can contact this provider via phone number 9787745000. The mailing address for Commonwealth Of Mass - Dds is 450 Maple Street, Hathorne, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Commonwealth Of Mass - Dds |
|---|---|
| Address | 450 Maple Street, Hathorne, Massachusetts |
| Phone Number | 9787745000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Maillet Jeanette |
| Telephone Number | 6177275608 |
NPI Number Detail
| NPI Number | 1598957391 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2009-10-06 |
Provider Mailing Address Detail
| Address | 450 Maple Street |
|---|---|
| City | Hathorne |
| State | Massachusetts (MA) |
| Post Code | 1937 |
| Phone Number | 9787745000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
|
Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 909505 | MA | -- |
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What is the Commonwealth Of Mass - Dds's 1598957391?
The Commonwealth Of Mass - Dds's NPI (National Provider Identifier) Number is 1598957391. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Commonwealth Of Mass - Dds?
The Commonwealth Of Mass - Dds is physically situated at 450 Maple Street, in the city of Hathorne, state of MA, with the postal code 1937.
What is Commonwealth Of Mass - Dds's area of expertise and its corresponding taxonomy classification?
The Commonwealth Of Mass - Dds's field of specialization is Intermediate Care Facility, Mental Illness, and it falls under the taxonomy code 310500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598957391 to Commonwealth Of Mass - Dds?
The Centers for Medicare & Medicaid Services originally issued the 1598957391 to Commonwealth Of Mass - Dds on 2007-08-15.
When was the information related to Commonwealth Of Mass - Dds most recently updated or refreshed?
The details pertaining to the Commonwealth Of Mass - Dds, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-10-06.