Organization
KIT CLARK SENIOR SERVICES, INC
Active
Parent organization
BAY COVE HUMAN SERVICES, INC
Other names
Bay Cove Human Services, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY COVE HUMAN SERVICES, INC
Authorized official
KERRY HORGOS (SVP CFO FINANCE)
(617) 371-3000
Entity
Organization
Contact information
Practice address
645 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 474-1272
Mailing address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 371-3000
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073321B
—
MA
Enumeration date
02/08/2012
Last updated
02/08/2012
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