Organization
BOSTON CENTER FOR INDEPENDENT LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HENNING (EXECUTIVE DIRECTOR)
16173386665
Entity
Organization
Contact information
Practice address
60 TEMPLE PL, 5TH FLOOR, BOSTON, MA 02111-1324
(617) 338-6665
(617) 338-6661
Mailing address
60 TEMPLE PL, 5TH FLOOR, BOSTON, MA 02111-1324
(617) 338-6665
(617) 338-6661
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5800005
—
MA
Enumeration date
02/28/2007
Last updated
07/30/2008
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