Organization
FS PATRIOT LLC
Active
Other names
Braintree Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY DOHERTY (CEO)
(781) 348-2500
Entity
Organization
Contact information
Practice address
250 POND ST, BRAINTREE, MA 02184-5351
(781) 348-2500
(781) 348-2494
Mailing address
250 POND ST, BRAINTREE, MA 02184-5351
(781) 348-2500
(781) 348-2494
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101901
—
MA
05
—
1200101
—
MA
Enumeration date
04/16/2007
Last updated
08/22/2020
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