Organization
IHS OF MASSACHUSETTS LLC
Active
Other names
Advance Directions Renal Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN MCDONNELL RN, BSN (PRESIDENT)
(617) 328-7707
Entity
Organization
Contact information
Practice address
1250 HANCOCK STREET, SUITE 204, QUINCY, MA 02169
(617) 328-7707
(617) 328-7787
Mailing address
6001 BROKEN SOUND PKWY, SUITE 502, BOCA RATON, FL 33487-2765
(561) 443-0743
(561) 443-7296
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/08/2011
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