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Organization

STAVROS CENTER FOR INDEPENDENT LIVING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SEREN DERIN (FISCAL DIRECTOR)
(413) 253-4236
Entity
Organization

Contact information

Practice address
210 OLD FARM RD, AMHERST, MA 01002-2704
(413) 256-6692
(413) 256-2630
Mailing address
210 OLD FARM RD, AMHERST, MA 01002-2704
(413) 256-6692
(413) 256-2630

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1990012
MA
Enumeration date
02/26/2007
Last updated
08/22/2020
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