| Blessinggrouphome | |
|
9 Bossi Ave Randolph MA 02368-2001 | |
| (781) 885-0494 | |
| Not Available |
| Full Name | Blessinggrouphome |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9 Bossi Ave, Randolph, Massachusetts |
| Authorized Official Name and Position | Rico Polinice (CEO) |
| Authorized Official Contact | 7818850494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessinggrouphome 9 Bossi Ave Randolph MA 02368-2001 Ph: (781) 885-0494 | Blessinggrouphome 9 Bossi Ave Randolph MA 02368-2001 Ph: (781) 885-0494 |
| NPI Number | 1699031211 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 04/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699031211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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