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Organization
NORTHEAST INDEPENDENT LIVING PROGRAM INC
Active
Organization
NORTHEAST INDEPENDENT LIVING PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PELLEGRINO (CEO)
(978) 245-8480
Entity
Organization
Contact information
Practice address
20 BALLARD RD, LAWRENCE, MA 01843-1018
(978) 687-4288
(978) 689-4488
Mailing address
20 BALLARD RD, LAWRENCE, MA 01843-1018
(978) 687-4288
(978) 689-4488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5800161
PROVIDER NUMBER
MA
Enumeration date
03/29/2007
Last updated
08/14/2026
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