Organization
KENNEDY DONOVAN CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN RODMAN-CONARE (CEO PRESIDENT)
(508) 772-1210
Entity
Organization
Contact information
Practice address
32 COMMERCIAL ST, SOUTH YARMOUTH, MA 02664-4441
(508) 385-6019
Mailing address
1 COMMERCIAL ST, FOXBORO, MA 02035-2530
(508) 543-2542
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026352H
—
MA
Enumeration date
04/23/2007
Last updated
03/05/2012
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