| Organization Name: | FS PATRIOT LLC |
| NPI Number: | 1255547196 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE PREBENSEN (DIRECTOR PATIENT ACCOUNTS) |
| Mailing Address: | 250 Pond St Braintree |
| State: | MA US |
| Postal Code: | 021845351 |
| Phone Number: | 7813482478 |
| Fax Number: | 7813482494 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |