NPI 1659594976

Department of Developmental Services

Organisation Intellectual Disabilities Intermediate Care Facility Shrewsbury, MA

Practice location

Address: Glavin Regional Cntr 214 Lake St, Shrewsbury, MA 01545
Phone: (508) 792-7452
Mailing address: 500 Harrison Ave, Boston, MA 02118-2439

Authorised official

Name: Jeanette Maillet
Title: C F O
Phone: (617) 624-7814

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Massachusetts →

Registry record

NPI: 1659594976
Entity type: Organization
NPI issued: 11 Apr 2007
Record last updated: 29 Sep 2009

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.