Organization
SOMERVILLE CAMBRIDGE ELDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN O'NEILL (EXECUTIVE DIRECTOR)
(617) 628-2601
Entity
Organization
Contact information
Practice address
61 MEDFORD ST, SOMERVILLE, MA 02143-3429
(617) 628-2601
(617) 628-1085
Mailing address
61 MEDFORD STREET, SOMERVILLE, MA 02143-3429
(617) 628-2601
(617) 628-1085
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0603791
—
MA
Enumeration date
03/15/2007
Last updated
08/22/2020
Update your record
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