Organization
COOPERATIVE ELDER SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNA CAROL FULLER MSSW (EXECUTIVE DIRECTOR)
(781) 863-2261
Entity
Organization
Contact information
Practice address
9 MERIAM ST, SUITE 28, LEXINGTON, MA 02420-5300
(781) 863-2261
(781) 863-1477
Mailing address
9 MERIAM ST, SUITE 28, LEXINGTON, MA 02420-5300
(781) 863-2261
(781) 863-1477
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900544
—
MA
05
—
1900846
—
MA
05
—
1901753
—
MA
05
—
1902148
—
MA
05
—
1902628
—
MA
05
—
1905228
—
MA
Enumeration date
02/21/2007
Last updated
08/22/2020
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