Organization
EMPOWER LIVING RESIDENCE LLC
Active
Other names
ELR
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE B JEAN-BAPTISTE RN, BSN (CHIEF EXECUTIVE OFFICER)
(857) 236-2242
Entity
Organization
Contact information
Practice address
38 CONNOLLY ST, RANDOLPH, MA 02368-1511
(857) 236-2242
Mailing address
38 CONNOLLY ST, RANDOLPH, MA 02368-1511
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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