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Organization

DIGHTON-REHOBOTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NANCY REILLY (MEDICAID MANAGER)
(781) 986-1785
Entity
Organization

Contact information

Practice address
2700 REGIONAL RD, NORTH DIGHTON, MA 02764-1923
(781) 986-1785
(781) 961-6999
Mailing address
2700 REGIONAL RD, NORTH DIGHTON, MA 02764-1923
(781) 986-1785
(781) 961-6999

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952196
MA
Enumeration date
03/27/2007
Last updated
06/17/2008
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