Organization · Type 2 NPI
Commonwealth of Mass - DDS
Intellectual Disabilities Intermediate Care Facility · Belmont, MA
NPI number
1306977822
Active
Practice location
200 Trapelo Road
Belmont, MA 02452-6302
Mailing address
500 Harrison Ave
Boston, MA 02118-2439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1306977822
Commonwealth of Mass - DDS's National Provider Identifier is 1306977822, issued on Mar 8, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Belmont, MA. The record was last updated on Oct 1, 2009.