NPI 1205369014

Clinical & Support Options

Organisation Exclusive Provider Organization East Longmeadow, MA

Practice location

Address: 15 Vadnais St, East Longmeadow, MA 01028-1934
Phone: (413) 233-8742

Authorised official

Name: Cherina Rodriguez
Title: Family Support Worker
Phone: (413) 233-8742

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Massachusetts →

Registry record

NPI: 1205369014
Entity type: Organization
NPI issued: 7 Apr 2017
Record last updated: 7 Apr 2017

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.