# BOSTON HEALTHCARE FOR THE HOMELESS PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023507761
- **Authorized official:** EVA K SIMON (RN)
- **Authorized official phone:** (508) 942-0067

## Contact information

- **Practice address:** 780 ALBANY ST, BOSTON, MA 02118-2755
- **Practice address phone:** (857) 654-1000
- **Mailing address:** 780 ALBANY ST, BOSTON, MA 02118-2755
- **Mailing address phone:** (857) 654-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 2320603 | MA | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2018
- **Last updated:** 05/08/2018