# PEABODY RESIDENT SERVICES INC

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

## Provider details

- **NPI number:** 1124236724
- **Authorized official:** MS. DOREEN M BUSHASHIA (DIRECTOR OF RESIDENT SERVICES)
- **Authorized official phone:** (781) 794-1000

## Contact information

- **Practice address:** 536 GRANITE ST, BRAINTREE, MA 02184-3952
- **Practice address phone:** (781) 794-1000
- **Practice address fax:** (781) 794-1087
- **Mailing address:** 536 GRANITE STREET, BRAINTREE, MA 02184
- **Mailing address phone:** (781) 794-1000
- **Mailing address fax:** (781) 794-1087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1902563 | MA | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/22/2020