Organization
PREPARATORY REHABILITATION FOR INDIVIDUAL DEVELOPMENT & EMPLOYMENT, IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN A. GOLDSBERRY (EXECUTIVE DIRECTOR)
(508) 823-7134
Entity
Organization
Contact information
Practice address
3 MAPLE ST, TAUNTON, MA 02780-3012
(508) 823-7134
(508) 824-5699
Mailing address
3 MAPLE ST, TAUNTON, MA 02780-3012
(508) 823-7134
(508) 824-5699
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1903934
—
MA
Enumeration date
05/15/2007
Last updated
06/17/2008
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