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Organization

DIAMONDSEDGE FARM FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRENDA MARIE TRI CRT,ET (OWNER,)
(508) 400-0011
Entity
Organization

Contact information

Practice address
2051 MAIN ST, WEST BARNSTABLE, MA 02668-1118
(508) 400-0011
Mailing address
2051 MAIN ST, WEST BARNSTABLE, MA 02668-1118
(508) 400-0011

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1033
MA

Other

Enumeration date
07/14/2009
Last updated
07/14/2009
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