Organization
PREPARATORY REHABILITATION FOR INDIVIDUAL DEVELOPMENT AND EMPLOYMENT,
Active
Other names
PRIDE Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC MAURICIO (ASSISTANT EXECUTIVE DIRECTOR)
(508) 823-7134
Entity
Organization
Contact information
Practice address
3 MAPLE STREET, TAUNTON, MA 02870
(508) 823-7134
(508) 824-7134
Mailing address
3 MAPLE STREET, TAUNTON, MA 02870
(508) 823-7139
(508) 824-5699
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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