Organization
BOSTON ADULT FOSTER CARE
Active
Other names
Boston Adult Foster Care, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN BRUTUS RN (REGISTERED)
(617) 756-6840
Entity
Organization
Contact information
Practice address
344 TALBOT AVE STE 201, DORCHESTER, MA 02124-3502
(617) 756-6840
(617) 436-4897
Mailing address
344 TALBOT AVE STE 201, DORCHESTER, MA 02124-3502
(617) 756-6840
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN258508
MA
251E00000X
Home Health Agency
Primary
RN258508
MA
253J00000X
Foster Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
MA
Enumeration date
06/15/2018
Last updated
06/15/2018
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