Organization
TOWN OF NANTUCKET
Active
Other names
Our Island Home
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA GRANTHAM MERIAM LICSW (ADMINISTRATOR)
(508) 325-5360
Entity
Organization
Contact information
Practice address
9 E CREEK RD, NANTUCKET, MA 02554-4015
(508) 228-0462
(508) 228-6875
Mailing address
9 E CREEK RD, NANTUCKET, MA 02554-4015
(508) 228-0462
(508) 228-6875
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0851
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0913162
—
MA
Enumeration date
10/21/2005
Last updated
10/25/2007
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