Organization
JEREMIAH'S INN INC.
Active
Other names
Jeremiah's Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ANN WADDELL (COMMUNICATIONS COORDINATOR)
(508) 755-6403
Entity
Organization
Contact information
Practice address
1059 MAIN ST, WORCESTER, MA 01603-2421
(508) 755-6403
(508) 793-9568
Mailing address
1059 MAIN ST, WORCESTER, MA 01603-2421
(508) 755-6403
(508) 793-9568
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0290
MA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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