Ddms Of Louisiana No 2, Llc in Boston - Intermediate Care Facility, Intellectual Disabilities
Ddms Of Louisiana No 2, Llc - NPI 1669687794
Ddms Of Louisiana No 2, Llc is a Intermediate Care Facility, Intellectual Disabilities in Boston, Massachusetts. Ddms Of Louisiana No 2, Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Ddms Of Louisiana No 2, Llc is 1669687794. The last update date is 2023-11-20.
Ddms Of Louisiana No 2, Llc's current location address is 313 Congress St, Boston, Massachusetts. You can contact this provider via phone number 8003885150 and fax number 6177904271. The mailing address for Ddms Of Louisiana No 2, Llc is 313 Congress St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Ddms Of Louisiana No 2, Llc |
---|---|
Address | 313 Congress St, Boston, Massachusetts |
Phone Number | 8003885150 |
Fax Number | 6177904271 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | VP& SR. AS |
---|---|
Authorized Official Name | Rodenberg-Roberts Patricia Mary |
Telephone Number | 9528362234 |
NPI Number Detail
NPI Number | 1669687794 |
---|---|
Provider Enumeration Date | 2007-05-11 |
Last Updated Date | 2023-11-20 |
Provider Mailing Address Detail
Address | 313 Congress St |
---|---|
City | Boston |
State | Massachusetts (MA) |
Post Code | 22101218 |
Phone Number | 8003885150 |
Fax Number | 6177904271 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
---|---|
Taxonomy | 315P00000X |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1719218 | LA | -- |
Post Comment/ Review Below
What is the Ddms Of Louisiana No 2, Llc's unique identification number?
The Ddms Of Louisiana No 2, Llc has been assigned the NPI (National Provider Identifier) Number 1669687794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Ddms Of Louisiana No 2, Llc?
The Ddms Of Louisiana No 2, Llc is situated at 313 Congress St, in the city of Boston, state of MA, with the zip code 22101218.
What is Ddms Of Louisiana No 2, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ddms Of Louisiana No 2, Llc's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Ddms Of Louisiana No 2, Llc receive its 1669687794 assignment from the Centers for Medicare & Medicaid Services?
The Ddms Of Louisiana No 2, Llc was assigned its 1669687794 by the Centers for Medicare & Medicaid Services on 2007-05-11.
As of what date was the information pertaining to Ddms Of Louisiana No 2, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ddms Of Louisiana No 2, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-11-20.