Organization Name: | SOLDIERS HOME IN MASS |
NPI Number: | 1477643658 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN CRONIN (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 91 Crest Ave Sullivan Building Chelsea |
State: | MA US |
Postal Code: | 021502154 |
Phone Number: | 6178845660 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 03/16/2009 |
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: |