Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KAREN PRELLA COTA/L (OCCUPATIONAL THERAPY ASSITANT)
(413) 206-8383
Entity
Organization
Contact information
Practice address
150 RIVERBANK RD, NORTHAMPTON, MA 01060-2517
(413) 206-8383
Mailing address
150 RIVERBANK RD, NORTHAMPTON, MA 01060-2517
(413) 206-8383
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
2159
MA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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