Organization
MARILLAC RESIDENCE, INC
Active
Organization
MARILLAC RESIDENCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN SHKNEVSKY (DIRECTOR OF FISCAL SERVICES)
(781) 997-1124
Entity
Organization
Contact information
Practice address
125 OAKLAND ST, WELLESLEY HILLS, MA 02481-5338
(781) 997-1124
Mailing address
125 OAKLAND ST, WELLESLEY HILLS, MA 02481-5338
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5508525
—
MA
Enumeration date
02/27/2007
Last updated
08/22/2020
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