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COMMONWEALTH OF MASS - DDS

Intermediate Care Facility, Mental Illness

Hathorne, Massachusetts

Provider NPI: 1598957391

Organization Information:
Organization Name:  COMMONWEALTH OF MASS - DDS


Practice Location:
450 MAPLE STREET  HATHORNE, MA 01937 US
Tel: 978-774-5000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness

Other Provider Identifiers:

IssuerNumberStateType
0909505MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS MA - Page 1