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NPI Code Detail

MEDICARE: EPOCH SENIOR HEALTH CARE OF WESTON

MEDICARE: EPOCH SENIOR HEALTH CARE OF WESTON
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
1104100000XSocial WorkerMA

General Provider Information

NPI Number : 1972714475
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPOCH SENIOR HEALTH CARE OF WESTON
Provider Business Mailing Address
First Line : 79 GAINSBOROUGH ST
Second Line : #204
City : BOSTON
State : MA
Zip : 02115-6516
Country : US
Telephone Number : 617-262-4536
Fax Number :
Provider Business Practice Location Address
First Line : 75 NORUMBEGA RD
Second Line :
City : WESTON
State : MA
Zip : 02493-2431
Country : US
Telephone Number : 781-891-6100
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. JAMES GRAFTON
Credential :
Telephone Number : 781-891-6100
Provider Enumeration Date : 05/25/2007
Last Update Date : 08/22/2020

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Directions to “EPOCH SENIOR HEALTH CARE OF WESTON ” Practice Location

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