NPI 1134251366

Commonwealth of Massachusets

Organisation Intellectual Disabilities Intermediate Care Facility Wrentham, MA

Practice location

Address: 131 Emerald Street, Wrentham, MA 02093
Phone: (508) 384-3114
Fax: (508) 384-1619
Mailing address: 40 Broad Street 4th Floor, Boston, MA 02109

Authorised official

Name: Dylan Lattimore
Title: Deputy Commissioner for Administrat
Phone: (857) 408-0675

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence EXEMPT (MA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Massachusetts →

Registry record

NPI: 1134251366
Entity type: Organization
NPI issued: 12 Mar 2007
Record last updated: 19 Mar 2026

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.