Organization
COMMUNITY COUNSELING OF BRISTOL COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP SHEA (PRESIDENT/CEO)
(508) 977-8100
Entity
Organization
Contact information
Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 977-8100
(508) 824-6604
Mailing address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 977-8100
(508) 824-6604
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028064A
—
MA
01
—
1184858508
MEDICARE NPI
—
Enumeration date
04/18/2014
Last updated
05/02/2014
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