Organization
BOSTON HEALTHCARE FOR THE HOMELESS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA K SIMON (RN)
(508) 942-0067
Entity
Organization
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2320603
MA
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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