Faye Cobb is a Meals Provider based in Quincy, MA. Faye Cobb practices in Roxbury, MA. The NPI Number for Faye Cobb is 1831792100 and holds a License No. (Massachusetts).
The current practice location address for Faye Cobb is 17 Greenville St, Roxbury, MA and can be reached out via phone at 617-445-6972.
Location: 17 Greenville St, Roxbury, MA, 02169-4010
Provider Profile Details
NPI Number
1831792100
Provider Name
Faye Cobb
Credential
Provider Entity Type
Individual
Gender
Female
Address
17 Greenville St, Roxbury, MA, 02169-4010
Phone Number
617-445-6972
Fax Number
Provider Enumeration Date
11/19/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100006636862 | 01 | MA | MASS HEALTH |
Provider Business Practice Location Address Details
Address
17 Greenville St
City
State
Zip
02119-2315
Phone Number
617-445-6972
Fax Number
Provider Business Mailing Address Details
Address
17 Greenville St
City
State
Zip
02119-2315
Phone Number
617-445-6972
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
License No.
()
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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