Organization
CARDINAL CUSHING CENTERS, INC.
Active
Other names
Life Opportunities Unlimited - South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIGMUND ROBERT KOZARYN (VICE PRESIDENT/CFO)
(781) 829-1215
Entity
Organization
Contact information
Practice address
291 ROCKLAND ST, HANOVER, MA 02339-2385
(781) 829-1215
(781) 826-4421
Mailing address
405 WASHINGTON ST, HANOVER, MA 02339-2343
(781) 829-1215
(781) 826-4421
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
TN66483
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093839896
—
MA
05
—
1699077404
—
MA
05
—
1750583902
—
MA
05
—
1861765307
—
MA
Enumeration date
05/08/2015
Last updated
05/08/2015
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