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NPI Code Detail

MEDICARE: DISCOVERY DAY TREATMENT

MEDICARE: DISCOVERY DAY TREATMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1215011085
Entity Type Code : Organization
Provider Name (Legal Business Name) : DISCOVERY DAY TREATMENT
Provider Business Mailing Address
First Line : 12 HANCOCK CT
Second Line :
City : QUINCY
State : MA
Zip : 02169-5210
Country : US
Telephone Number : 617-769-7215
Fax Number :
Provider Business Practice Location Address
First Line : 12 HANCOCK CT
Second Line :
City : QUINCY
State : MA
Zip : 02169-5210
Country : US
Telephone Number : 617-769-7215
Fax Number :
Authorized Official
Title or Position : UNKNOWN
Name : MR. LU FERNANDEZ
Credential :
Telephone Number : 0
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/22/2020

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Directions to “DISCOVERY DAY TREATMENT ” Practice Location

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