Organization
HARBOR HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T. JONES (CREDENTIALING SPECIALIST)
(617) 533-2350
Entity
Organization
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 533-2300
(617) 533-2341
Mailing address
1135 MORTON ST, MATTAPAN, MA 02126-2834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN155812
NH
Other
Enumeration date
10/29/2013
Last updated
04/02/2020
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