Organization
MPI RESIDENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S STOCKARD (PRESIDENT)
(781) 943-0200
Entity
Organization
Contact information
Practice address
27 MICA LANE SUITE 301, MALONEY PROPERTIES INC, WELLESLEY, MA 02481
(781) 943-0200
(781) 237-5078
Mailing address
27 MICA LANE SUITE 301, MALONEY PROPERTIES INC, WELLESLEY, MA 02481
(781) 943-0200
(781) 237-5078
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1904337
PROVIDER NUMBER
MA
Enumeration date
03/19/2007
Last updated
08/22/2020
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