Organization
KIT CLARK SENIOR SERVICES
Active
Parent organization
BAY COVE HUMAN SERVICES
Other names
Bay Cove Human Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY COVE HUMAN SERVICES
Authorized official
MISS PAMELA L HARRIGAN (BILLING MANAGER)
(617) 619-5919
Entity
Organization
Contact information
Practice address
42 CHARLES ST, DORCHESTER, MA 02122-1441
(617) 825-5000
Mailing address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 371-3000
(617) 371-3170
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073321A
—
MA
Enumeration date
08/22/2011
Last updated
08/22/2011
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