NPI 1598957391

Commonwealth of Massachusetts

Organisation Intellectual Disabilities Intermediate Care Facility Hathorne, MA

Practice location

Address: 450 Maple St, Hathorne, MA 01937
Phone: (978) 774-5000
Mailing address: 40 Broad Street 4th Floor, Boston, MA 02109

Authorised official

Name: Dylan Lattimore
Title: Deputy Commissioner of Adminstratio
Phone: (857) 408-0675

Registered specialties (2)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Massachusetts →

Mental Illness Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Massachusetts →

Registry record

NPI: 1598957391
Entity type: Organization
NPI issued: 15 Aug 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.