Organization
COMMUNITY CONNECTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN JOHNSON (VICE PRESIDENT OF OPERATIONS)
(508) 362-1140
Entity
Organization
Contact information
Practice address
127 WHITES PATH, S YARMOUTH, MA 02664-1217
(508) 362-1140
(508) 362-9198
Mailing address
127 WHITES PATH, S YARMOUTH, MA 02664-1217
(508) 362-1140
(508) 362-9198
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301080
—
MA
05
—
1305506
—
MA
05
—
1305549
—
MA
05
—
1305778
—
MA
05
—
1311328
—
MA
05
—
1311336
—
MA
05
—
1311972
—
MA
05
—
1312235
—
MA
05
—
1319477
—
MA
Enumeration date
01/30/2007
Last updated
08/22/2020
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