| Organization Name: | MA-DEPARTMENT OF SOCIAL SERVICES-COMMONWORKS REHAB |
| NPI Number: | 1457578734 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELLEN FINNEGAN (CHIEF FISCAL OFFICER) |
| Mailing Address: | 24 Farnsworth St Boston |
| State: | MA US |
| Postal Code: | 022101264 |
| Phone Number: | 6177482000 |
| Fax Number: | 6174399027 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 10/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |