Organization
EXODUS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISA LACOMBE HEALTH MANAGER (DIRECTOR)
(617) 794-2939
Entity
Organization
Contact information
Practice address
246 SEAVER ST, DORCHESTER, MA 02121-1519
(617) 541-8800
(617) 541-8880
Mailing address
246 SEAVER ST, DORCHESTER, MA 02121-1519
(617) 541-8800
(617) 541-8880
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
52621
MA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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