NPI 1356593743

Supplemantal Health Care Services

Organisation Physical Disabilities Residential Treatment Facility Hyde Park, MA

Practice location

Address: 731 Truman Hwy, Hyde Park, MA 02136
Phone: (617) 407-0592
Mailing address: 731 Truman Hwy, Hyde Park, MA 02136-3517

Authorised official

Name: Luis E Pacheco
Title: Physical Therapist Assistant
Phone: (617) 407-0592

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 7620 (MA)

Other Residential Treatment Facility, Physical Disabilities providers in Massachusetts →

Registry record

NPI: 1356593743
Entity type: Organization
NPI issued: 16 Oct 2008
Record last updated: 16 Oct 2008

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.