Department of Developmental Services

NPI #1063635399 in Palmer, Massachusetts

Provider Information

NPI Number
1063635399
Entity Type
Organization
Organization Name
Department of Developmental Services
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 11, 2007
Last Updated
Sep 30, 2009

Practice Location

Address
MONSON DEV CNTR
Address 2
175 STATE AVE
City
Palmer
ZIP Code
01069
Phone
(413) 283-3411

Authorized Official

Name
JEANETTE MAILLET
Title
C F O
Phone
(617) 624-7817

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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