Individual
GECINDA ORELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 OSCEOLA ST, HYDE PARK, MA 02136-6471
(857) 251-6407
Mailing address
31 OSCEOLA ST, HYDE PARK, MA 02136-6471
(857) 251-6407
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
02/08/2017
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