NPI 1578335790

Prime Veteran Assessment Services LLC

Organisation Preferred Provider Organization Auburn, MA

Practice location

Address: 489 Washington St STE 202, Auburn, MA 01501-5709
Phone: (339) 331-3049
Fax: (339) 331-3287
Mailing address: 34 Waterman Rd, Auburn, MA 01501-1859

Authorised official

Name: Lofton Davis
Title: Ceo
Phone: (339) 331-3049

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1578335790
Entity type: Organization
NPI issued: 23 Oct 2023
Record last updated: 23 Oct 2023

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.