Organization
DECEMBER CARES MULTISERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY VICTORIA (DIRECTOR OF OPERATIONS)
(774) 506-2168
Entity
Organization
Contact information
Practice address
124 MONTELLO ST APT 104, BROCKTON, MA 02301-4096
(774) 506-2168
Mailing address
124 MONTELLO ST APT 104, BROCKTON, MA 02301-4096
(774) 506-2168
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710001175
—
RI
Enumeration date
06/05/2020
Last updated
03/26/2025
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