Organization
SHORE EDUCATIONAL COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYANN LUCIA (DIRECTOR OF FINANCE)
(617) 887-2930
Entity
Organization
Contact information
Practice address
4 AUDUBON RD, WAKEFIELD, MA 01880-1203
(781) 224-3466
Mailing address
4 AUDUBON RD, WAKEFIELD, MA 01880-1203
(781) 224-3466
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1308947
—
MA
Enumeration date
04/24/2007
Last updated
08/22/2020
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