MEDICARE: CHRISTOPHER HOUSE OF ATTLEBORO LP

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
1	310400000X	Assisted Living Facility		MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275676082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER HOUSE OF ATTLEBORO LP

Provider Business Mailing Address
First Line	:	45 S MAIN ST
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-2919
Country	:	US
Telephone Number	:	508-222-2868
Fax Number	:	508-226-5598

Provider Business Practice Location Address
First Line	:	45 S MAIN ST
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-2919
Country	:	US
Telephone Number	:	508-222-2868
Fax Number	:	508-226-5598

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. WALTER A OHANIAN
Credential	:
Telephone Number	:	508-222-2868

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/22/2020

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