Whalio Doctors

NPI 1134270341

Laurel Hill Inn, LTD

Organisation Mental Illness Community Based Residential Treatment Facility Medford, MA

Practice location

Address
121 Mystic St, Medford, MA 02155-3463
Phone
(781) 391-8000
Fax
(781) 391-8008
Mailing address
6100 SW 76th St, South Miami, FL 33143-5002

Authorised official

Name
Mike Bagley
Title
Chief Financial Officer
Phone
(305) 663-1876

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1134270341
Entity type
Organization
NPI issued
15 Jan 2007
Record last updated
4 Mar 2020

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.