# THERESA KIRBY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** theresa kirby
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376089169
- **Authorized official:** MISS THERESA AGATHA KIRBY REGISTERED NURSE (RN)
- **Authorized official phone:** (617) 905-3216

## Contact information

- **Practice address:** 119 ROBBINS ST, MILTON, MA 02186-2535
- **Practice address phone:** (617) 905-3216
- **Mailing address:** 119 ROBBINS ST, MILTON, MA 02186-2535
- **Mailing address phone:** (617) 905-3216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 205111 | MA | Yes |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 01/17/2017