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Organization

THE COMMONWEALTH OF MASSACHUSETTS

Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Other names
Pappas Rehabilitation Hospital for Children
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
VALENDA LIPTAK (BUREAU DIRECTOR, PUBLIC HEALTH HOSP)
(413) 784-9186
Entity
Organization

Contact information

Practice address
3 RANDOLPH ST., CANTON, MA 02021-0317
(781) 828-2440
(781) 821-4086
Mailing address
3 RANDOLPH ST., CANTON, MA 02021-0317
(781) 828-2440
(781) 821-4086

Taxonomy

Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110078194D
MA
05
1102125
MA
Enumeration date
10/06/2006
Last updated
03/29/2022
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