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Organization
DR CLINICAL RESOURCES
Active
Organization
DR CLINICAL RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIDIANE DENIS BS,RN,MD (MEDICAL DIRECTOR)
(877) 770-6671
Entity
Organization
Contact information
Practice address
868 SALEM ST, MALDEN, MA 02148-4436
(617) 959-7561
Mailing address
PO BOX 186, MALDEN, MA 02148-0002
(877) 770-6671
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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