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Organization

KATHLEEN THEODORE DBA HRS OF CAPE COD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHLEEN THEODORE (OWNER/OPERATOR)
(508) 771-3702
Entity
Organization

Contact information

Practice address
35 WINTER STREET, SUITE 105, HYANNIS, MA 02601
(508) 771-3702
Mailing address
35 WINTER STREET, SUITE 105, HYANNIS, MA 02601
(508) 771-3702

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1100822694A
MA
Enumeration date
12/19/2023
Last updated
12/19/2023
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