Organization · Type 2 NPI

Dodge Park LLC

Adult Care Home Facility · Worcester, MA

NPI number 1104017961 Active

Practice location

101 Randolph Rd
Worcester, MA 01606-2463

Call (508) 853-8180 Map

Fax (508) 853-4545

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X1318 (MA)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

3 other providers at this address

Other adult care home facility providers in Worcester

See all in Worcester →

About NPI 1104017961

Dodge Park LLC's National Provider Identifier is 1104017961, issued on Aug 7, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Worcester, MA. The record was last updated on Aug 7, 2007.