Whalio Doctors

NPI 1609314681

Regis College

Organisation Inpatient Hospice Mattapan, MA

Practice location

Address
19 Southmere Road, Mattapan, MA 02126
Phone
(617) 755-0356
Mailing address
19 Southmere Rd, Mattapan, MA 02126-2717

Authorised official

Name
Trinika Bullock
Title
Registered Nurse
Phone
(617) 755-0356

Registered specialties

Inpatient Hospice Primary
Nursing & Custodial Care Facilities Taxonomy 315D00000X Licence RN284389 (MA)

Registry record

NPI
1609314681
Entity type
Organization
NPI issued
9 Feb 2017
Record last updated
9 Feb 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.