Organization
COMMUNITY FIRST ADULT FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI INNIS (CEO)
(347) 706-5800
Entity
Organization
Contact information
Practice address
1078 WEST BOYLSTON ST, SUITE 202, WORCESTER, MA 01606-4572
(347) 706-5800
Mailing address
1078 WEST BOYLSTON ST, SUITE 202, WORCESTER, MA 01606-4572
(347) 706-5800
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
10/31/2024
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