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COMMONWEALTH OF MASS - DDS

Intermediate Care Facility, Mentally Retarded

Belmont, Massachusetts

Provider NPI: 1306977822

Organization Information:
Organization Name:  COMMONWEALTH OF MASS - DDS


Practice Location:
200 TRAPELO ROAD  BELMONT, MA 02452 US
Tel: 781-894-3600  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
0916307MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS MA - Page 1



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