National Provider Identifier Database

SUPPLEMANTAL HEALTH CARE SERVICES
Residential Treatment Facility, Physical Disabilities

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.


Contact Information

SUPPLEMANTAL HEALTH CARE SERVICES
731 TRUMAN HWY
HYDE PARK, MA02136
Phone: 617-407-0592
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for SUPPLEMANTAL HEALTH CARE SERVICES

NPI Number 1356593743
Legal business name
LBN
SUPPLEMANTAL HEALTH CARE SERVICES
Authorized official LUIS PACHECO - (PHYSICAL THERAPIST ASSISTANT)
Entity Organization
Organization subpart No
Enumeration date 10/16/2008
Last updated 10/16/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 7620

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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