Organization
ROGERSON COMMUNITIES
Active
Organization
ROGERSON COMMUNITIES
Active
Other names
Rogerson -Egleston Adult Day Health Program
Organization subpart
No
Provider details
NPI number
Authorized official
MATT PICCARINI JR. (FINANCIAL PERFORMANCE MANAGER)
(617) 463-5836
Entity
Organization
Contact information
Practice address
2053R COLUMBUS AVENUE, ROXBURY, MA 02119
(617) 469-5800
Mailing address
2053R COLUMBUS AVENUE, ROXBURY, MA 02119
(617) 469-5800
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1905970
—
MA
Enumeration date
01/03/2007
Last updated
09/12/2019
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