Organization · Type 2 NPI
Department of Developmental Services
Intellectual Disabilities Intermediate Care Facility · Shrewsbury, MA
NPI number
1659594976
Active
Practice location
Glavin Regional Cntr, 214 Lake St
Shrewsbury, MA 01545
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 1659594976
Department of Developmental Services's National Provider Identifier is 1659594976, issued on Apr 11, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Shrewsbury, MA. The record was last updated on Sep 29, 2009.