Individual provider · Type 1 NPI
Joann McCluskey
Adult Care Home Facility · West Springfield, MA
NPI number
1962870212
Active
Practice location
52B Wayside Ave
West Springfield, MA 01089-1316
Mailing address
52-B Wayside Ave
West Springfield, MA 01089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foster Care Agency | 253J00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
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.
Another provider at this address
About NPI 1962870212
Joann McCluskey's National Provider Identifier is 1962870212, issued on Sep 3, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in West Springfield, MA. The record was last updated on Sep 3, 2015.