person
Mohammed Eisa
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Boston, Massachusetts
NPI 1245609064

Mohammed Eisa is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Boston, MA. Mohammed Eisa practices in Boston, MA. The NPI Number for Mohammed Eisa is 1245609064 and holds a License No. (Massachusetts).

The current practice location address for Mohammed Eisa is 759 Bennington St, Boston, MA and can be reached out via phone at 804-873-6581.

Location: 759 Bennington St, Boston, MA, 02128-1133
person
Provider Profile Details
NPI Number
1245609064
Provider Name
Mohammed Eisa
Credential
Provider Entity Type
Individual
Gender
Male
Address
759 Bennington St, Boston, MA, 02128-1133
Phone Number
804-873-6581
Fax Number
Provider Enumeration Date
09/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
759 Bennington St
City
State
Zip
02128-1133
Phone Number
804-873-6581
Fax Number
person
Provider Business Mailing Address Details
Address
759 Bennington St
City
State
Zip
02128-1133
Phone Number
804-873-6581
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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