Organization
MA-DEPARTMENT OF SOCIAL SERVICES-COMMONWORKS REHAB
Active
Organization
MA-DEPARTMENT OF SOCIAL SERVICES-COMMONWORKS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN FINNEGAN (CHIEF FISCAL OFFICER)
(617) 748-2069
Entity
Organization
Contact information
Practice address
24 FARNSWORTH ST, BOSTON, MA 02210-1264
(617) 748-2000
(617) 439-9027
Mailing address
24 FARNSWORTH ST, BOSTON, MA 02210-1264
(617) 748-2000
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803557
—
MA
Enumeration date
04/19/2007
Last updated
10/23/2007
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