Organization
NEW ENGLAND VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN HORTON (FINANCE DIRECTOR)
(781) 293-5461
Entity
Organization
Contact information
Practice address
664 SCHOOL ST, PEMBROKE, MA 02359-3607
(781) 293-5461
(781) 294-8385
Mailing address
664 SCHOOL ST, PEMBROKE, MA 02359-3607
(781) 293-5461
(781) 294-8385
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
110028180B
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110028180B
MASS HEALTH PROVIDER NUMBER
MA
Enumeration date
06/11/2009
Last updated
06/11/2009
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