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Pine Street Inn, Inc.
Physical Disabilities Residential Treatment Facility in Dorchester Center, Massachusetts
NPI 1639337280

Pine Street Inn, Inc. is a Physical Disabilities Residential Treatment Facility based in Boston, MA. Pine Street Inn, Inc. practices in Dorchester Center, MA. The NPI Number for Pine Street Inn, Inc. is 1639337280 and holds a License No. (Massachusetts).

The current practice location address for Pine Street Inn, Inc. is 28 Rockwell St, Dorchester Center, MA and can be reached out via phone at 617-892-8802 and via fax at 617-825-9020.

Location: 28 Rockwell St, Dorchester Center, MA, 02118-2404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639337280
Provider Name
Pine Street Inn, Inc.
Credential
Provider Entity Type
Organization
Address
28 Rockwell St, Dorchester Center, MA, 02118-2404
Phone Number
617-892-8802
Fax Number
617-825-9020
Provider Enumeration Date
05/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1803492 05 MA
institution
Provider Business Practice Location Address Details
Address
28 Rockwell St
City
Dorchester Center
State
Massachusetts
Zip
02124-4438
Phone Number
617-892-8802
Fax Number
617-825-9020
person
Provider Business Mailing Address Details
Address
28 Rockwell St
City
Dorchester Center
State
Massachusetts
Zip
02124-4438
Phone Number
617-892-8802
Fax Number
617-825-9020
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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