Organization
EXECUTIVE RECOVERY COACH, INC
Active
Organization
EXECUTIVE RECOVERY COACH, INC
Active
Parent organization
EXECUTIVE RECOVERY COACH, INC
Other names
Executive Home Detox
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXECUTIVE RECOVERY COACH, INC
Authorized official
MR. WILLIAM PAUL CARRICK RN (PRESIDENT)
(781) 439-2603
Entity
Organization
Contact information
Practice address
239 WEST ST, READING, MA 01867-2848
(781) 439-2603
Mailing address
239 WEST ST, READING, MA 01867-2848
(781) 439-2603
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
156015
MA
253Z00000X
In Home Supportive Care Agency
22583743
NY
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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