Organization
SUBURBAN HOME CARE MEDRIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J ROPER (PRESIDENT)
(781) 599-5200
Entity
Organization
Contact information
Practice address
1050 COMMONWEALTH AVE, SUITE 300, BOSTON, MA 02215-1109
(781) 599-5200
(781) 592-7839
Mailing address
1050 COMMONWEALTH AVE, SUITE 300, BOSTON, MA 02215-1109
(781) 599-5200
(781) 592-7839
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720767
—
MA
Enumeration date
03/20/2007
Last updated
08/22/2020
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