Commonwealth Of Massachusetts-Dmr in Boston - Intermediate Care Facility, Intellectual Disabilities

Commonwealth Of Massachusetts-Dmr - NPI 1134251366

Commonwealth Of Massachusetts-Dmr is a Intermediate Care Facility, Intellectual Disabilities in Boston, Massachusetts. Commonwealth Of Massachusetts-Dmr practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Commonwealth Of Massachusetts-Dmr is 1134251366. The last update date is 2007-08-22.

Commonwealth Of Massachusetts-Dmr's current location address is 500 Harrison Ave, Boston, Massachusetts. You can contact this provider via phone number 6177275608 and fax number 6176247577. The mailing address for Commonwealth Of Massachusetts-Dmr is 500 Harrison Ave, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Commonwealth Of Massachusetts-Dmr
Address 500 Harrison Ave, Boston, Massachusetts
Phone Number 6177275608
Fax Number 6176247577
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Maillet Jeanette
Telephone Number 6176247577

NPI Number Detail

NPI Number 1134251366
Provider Enumeration Date 2007-03-12
Last Updated Date 2007-08-22

Provider Mailing Address Detail

Address 500 Harrison Ave
City Boston
State Massachusetts (MA)
Post Code 21182439
Phone Number 6177275608
Fax Number 6176247577

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No EXEMPT
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
916315 MA --

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FAQs about Commonwealth Of Massachusetts-Dmr

What is the unique identifier code issued to Commonwealth Of Massachusetts-Dmr by the Centers for Medicare & Medicaid Services (CMS)?

The Commonwealth Of Massachusetts-Dmr has been assigned the NPI (National Provider Identifier) 1134251366. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Commonwealth Of Massachusetts-Dmr located?

The Commonwealth Of Massachusetts-Dmr is located at 500 Harrison Ave, Boston, MA 21182439.

What is the Commonwealth Of Massachusetts-Dmr's area of specialization and corresponding taxonomy classification?

The Commonwealth Of Massachusetts-Dmr's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1134251366 assigned to Commonwealth Of Massachusetts-Dmr?

The Commonwealth Of Massachusetts-Dmr was issued its 1134251366 on 2007-03-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Commonwealth Of Massachusetts-Dmr most recently updated or refreshed?

The details pertaining to the Commonwealth Of Massachusetts-Dmr, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-22.

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