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Contact Information

DODGE PARK AT HOME
101 RANDOLPH RD
WORCESTER, MA01606-2463
 Phone: 508-853-8180
 Fax: 508-853-4545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for DODGE PARK AT HOME

NPI # 1487927778
LBN Legal business name DODGE PARK AT HOME
Authorized official MICHA SHALEV - (MANAGER/MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2012
Last updated 02/16/2012 - About 14 years ago
Identifiers
MA License # 8110
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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