Organization
ELDER SERVICES OF THE MERRIMACK VALLEY, INC.
Active
Organization
ELDER SERVICES OF THE MERRIMACK VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSANNE DISTEFANO (EXECUTIVE DIRECTOR)
(978) 683-7747
Entity
Organization
Contact information
Practice address
280 MERRIMACK ST, SUITE 400, LAWRENCE, MA 01843-1779
(978) 683-7747
(978) 687-1067
Mailing address
280 MERRIMACK ST, SUITE 400, LAWRENCE, MA 01843-1779
(978) 683-7747
(978) 687-1067
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900609
MASS HEALTH - GAFC
MA
Enumeration date
03/28/2007
Last updated
04/09/2015
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