| Riverside Community Care | |
|
12 Tyler St Somerville MA 02143-3241 | |
| (781) 364-0940 | |
| Not Available |
| Full Name | Riverside Community Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Tyler St, Somerville, Massachusetts |
| Authorized Official Name and Position | Jacqueline Marie Fickes (INTENSIVE CARE COORDINATOR) |
| Authorized Official Contact | 7813640940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Community Care 12 Tyler St Somerville MA 02143-3241 Ph: () - | Riverside Community Care 12 Tyler St Somerville MA 02143-3241 Ph: (781) 364-0940 |
| NPI Number | 1174907000 |
|---|---|
| Provider Enumeration Date | 07/09/2015 |
| Last Update Date | 07/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174907000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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