Organization
BRISTOL ELDER SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE DOMIN (FINANCE DIRECTOR)
(508) 675-2101
Entity
Organization
Contact information
Practice address
1 FATHER DEVALLES BLVD STE 101, FALL RIVER, MA 02723-1511
(508) 675-2101
(508) 679-0320
Mailing address
1 FATHER DEVALLES BLVD STE 101, FALL RIVER, MA 02723-1511
(508) 675-2101
(508) 679-0320
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948512
—
MA
Enumeration date
02/28/2007
Last updated
10/29/2008
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