Organization
DEPARTMENT OF DEVELOPMENTAL SERVICES
Active
Other names
GLAVIN REGIONAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE MAILLET (C F O)
(617) 624-7814
Entity
Organization
Contact information
Practice address
GLAVIN REGIONAL CNTR, 214 LAKE ST, SHREWSBURY, MA 01545
(508) 792-7452
Mailing address
500 HARRISON AVE, BOSTON, MA 02118-2439
(617) 624-7870
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913804
—
MA
Enumeration date
04/11/2007
Last updated
09/29/2009
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