Organization
ROSE AUBOURG SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NSUDILA ROSE AUBOURG ASSOCIATE DEGREE (PRESIENT)
(857) 544-9100
Entity
Organization
Contact information
Practice address
169 WOOD AVE, SUITE1, HYDE PARK, MA 02136-3823
(857) 544-9100
(617) 361-6981
Mailing address
169 WOOD AVE, SUITE1, HYDE PARK, MA 02136-3823
(857) 544-9100
(617) 361-6981
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
8020
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8020
LICENCE FROM DIVISION OF OCCUPATIONAL SAFETY
MA
Enumeration date
03/17/2011
Last updated
03/17/2011
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