Organization
KENNEDY DONOVAN CENTER, INC
Active
Other names
Kennedy Donovan Day Habilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN RODMAN CONARE (PRESIDENT & CEO)
(508) 543-2542
Entity
Organization
Contact information
Practice address
19 HAWTHORN ST, NEW BEDFORD, MA 02740-4938
(508) 992-4756
(508) 999-5367
Mailing address
1 COMMERCIAL ST, FOXBORO, MA 02035-2530
(508) 543-2542
(508) 543-9488
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026352I
—
MA
Enumeration date
03/11/2008
Last updated
03/05/2012
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