# SOUTH COVE COMMUNITY HEALTH CENTER

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

## Provider details

- **NPI number:** 1457653537
- **Authorized official:** MS. ISABELLA LAI WAH MA RD (DIETITIAN)
- **Authorized official phone:** (617) 482-7555

## Contact information

- **Practice address:** 885 WASHINGTON STREET, BOSTON, MA 02111-1415
- **Practice address phone:** (617) 482-7555
- **Practice address fax:** (617) 521-6795
- **Mailing address:** 885 WASHINGTON ST, BOSTON, MA 02111-1415
- **Mailing address phone:** (617) 482-7555
- **Mailing address fax:** (617) 521-6795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 133V00000X | MA | Yes |

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 12/07/2010