Organization
PEABODY RESIDENT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOREEN M BUSHASHIA (DIRECTOR OF RESIDENT SERVICES)
(781) 794-1000
Entity
Organization
Contact information
Practice address
536 GRANITE ST, BRAINTREE, MA 02184-3952
(781) 794-1000
(781) 794-1087
Mailing address
536 GRANITE STREET, BRAINTREE, MA 02184
(781) 794-1000
(781) 794-1087
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1902563
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
902563
—
MA
Enumeration date
05/18/2007
Last updated
08/22/2020
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