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Dodge Park Llc
Adult Care Home Facility in Worcester, Massachusetts
NPI 1104017961

Dodge Park Llc is an Adult Care Home Facility based in Worcester, MA and is specialized in Adult Care Home. Dodge Park Llc practices in Worcester, MA. The NPI Number for Dodge Park Llc is 1104017961 and holds a License No. 1318 (Massachusetts).

The current practice location address for Dodge Park Llc is 101 Randolph Rd, Worcester, MA and can be reached out via phone at 508-853-8180 and via fax at 508-853-4545.

Location: 101 Randolph Rd, Worcester, MA, 01606-2463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104017961
Provider Name
Dodge Park Llc
Credential
Provider Entity Type
Organization
Address
101 Randolph Rd, Worcester, MA, 01606-2463
Phone Number
508-853-8180
Fax Number
508-853-4545
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Randolph Rd
City
Worcester
State
Massachusetts
Zip
01606-2463
Phone Number
508-853-8180
Fax Number
508-853-4545
person
Provider Business Mailing Address Details
Address
101 Randolph Rd
City
Worcester
State
Massachusetts
Zip
01606-2463
Phone Number
508-853-8180
Fax Number
508-853-4545
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
1318 (Massachusetts)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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