NPI 1063635399

Department of Developmental Services

Organisation Intellectual Disabilities Intermediate Care Facility Palmer, MA

Practice location

Address: Monson Dev Cntr 175 State Ave, Palmer, MA 01069
Phone: (413) 283-3411
Mailing address: 500 Harrison Ave, Boston, MA 02118-2439

Authorised official

Name: Jeanette Maillet
Title: C F O
Phone: (617) 624-7817

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Massachusetts →

Registry record

NPI: 1063635399
Entity type: Organization
NPI issued: 11 Apr 2007
Record last updated: 30 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.