Commonwealth of Massachusetts-Dmr
NPI #1134251366 in Wrentham, Massachusetts
Provider Information
- NPI Number
- 1134251366
- Entity Type
- Organization
- Organization Name
- Commonwealth of Massachusetts-Dmr
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COMMONWEALTH OF MASSACHUSETTS
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Aug 22, 2007
Practice Location
- Address
- 131 EMERALD STREET
- City
- Wrentham
- State
- Massachusetts
- ZIP Code
- 02093
- Phone
- (508) 384-3114
Authorized Official
- Name
- MS. JEANETTE MAILLET
- Title
- CFO
- Phone
- (617) 624-7577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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