Organization
PREPARATORY REHABILITATION FOR INDIVIDUAL DEVELOPMENT AND EMPLOYMENT
Active
Other names
PRIDE Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC MAURICIO (ASSISTANT EXECUTIVE DIRECTOR)
(508) 823-7134
Entity
Organization
Contact information
Practice address
3 MAPLE ST, TAUNTON, MA 02780-3012
(508) 823-7134
(508) 824-5699
Mailing address
3 MAPLE ST, TAUNTON, MA 02780-3012
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
110027767
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027767
—
MA
Enumeration date
07/08/2016
Last updated
07/08/2016
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