Organization
TOWN OF ACTON
Active
Other names
Acton Public Health Nursing Service
Organization subpart
No
Provider details
NPI number
Authorized official
MERRILY EVDOKIMOFF RN (ADMINISTRATOR)
(978) 264-9653
Entity
Organization
Contact information
Practice address
472 MAIN ST, ACTON, MA 01720-3952
(978) 264-9653
(978) 264-4405
Mailing address
472 MAIN ST, ACTON, MA 01720-3952
(978) 264-9653
(978) 264-4405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601918
—
MA
01
—
120057
BLUE CROSS BLUE SHIELD
—
01
—
300529
TUFTS HEALTH PLAN
—
Enumeration date
05/19/2006
Last updated
06/16/2008
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