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NPI Code Detail

MEDICARE: HANCOCK PARK LIMITED PARTNERSHIP

MEDICARE: HANCOCK PARK LIMITED PARTNERSHIP
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
1261QA0600XAdult Day Care Clinic/CenterOFEGMA

Other Identifiers

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

General Provider Information

NPI Number : 1730208638
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANCOCK PARK LIMITED PARTNERSHIP
Provider Business Mailing Address
First Line : 164 PARKINGWAY ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-5020
Country : US
Telephone Number : 617-773-4222
Fax Number : 617-773-1115
Provider Business Practice Location Address
First Line : 164 PARKINGWAY ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-5020
Country : US
Telephone Number : 617-773-4222
Fax Number : 617-773-1115
Authorized Official
Title or Position : VICE PRESIDENT
Name : MICHAEL WELCH
Credential :
Telephone Number : 781-878-6700
Provider Enumeration Date : 03/29/2007
Last Update Date : 08/22/2020

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Directions to “HANCOCK PARK LIMITED PARTNERSHIP ” Practice Location

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