Organization
SOUTHWEST BOSTON SENIOR SERVICES, INC.
Active
Other names
Ethos
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE P. MITCHELL (EXECUTIVE DIRECTOR)
(617) 522-6700
Entity
Organization
Contact information
Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 522-6700
(617) 524-2899
Mailing address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 522-6700
(617) 524-2899
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0603805
—
MA
Enumeration date
03/15/2007
Last updated
08/22/2020
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