National Provider Identifier Database

JEREMIAHS INN INC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

JEREMIAH'S INN INC.
1059 MAIN ST
WORCESTER, MA01603-2421
Phone: 508-755-6403
Fax: 508-793-9568
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for JEREMIAH'S INN INC.

NPI Number 1679019731
Legal business name
LBN
JEREMIAH'S INN INC.
Authorized official MELISSA WADDELL - (COMMUNICATIONS COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 01/13/2017
Last updated 01/13/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 0290

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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