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Commonwealth Of Mass - Dds
Intellectual Disabilities Intermediate Care Facility in Belmont, Massachusetts
NPI 1306977822

Commonwealth Of Mass - Dds is a Intellectual Disabilities Intermediate Care Facility based in Boston, MA. Commonwealth Of Mass - Dds practices in Belmont, MA. The NPI Number for Commonwealth Of Mass - Dds is 1306977822 and holds a License No. (Massachusetts).

The current practice location address for Commonwealth Of Mass - Dds is 200 Trapelo Road, Belmont, MA and can be reached out via phone at 781-894-3600.

Location: 200 Trapelo Road, Belmont, MA, 02118-2439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306977822
Provider Name
Commonwealth Of Mass - Dds
Credential
Provider Entity Type
Organization
Address
200 Trapelo Road, Belmont, MA, 02118-2439
Phone Number
781-894-3600
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0916307 05 MA
institution
Provider Business Practice Location Address Details
Address
200 Trapelo Road
City
Belmont
State
Massachusetts
Zip
02452-6302
Phone Number
781-894-3600
Fax Number
person
Provider Business Mailing Address Details
Address
200 Trapelo Road
City
Belmont
State
Massachusetts
Zip
02452-6302
Phone Number
781-894-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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