Healthcare Provider Details

I. General information

NPI: 1427593334
Provider Name (Legal Business Name): FSSHHS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2016
Last Update Date: 12/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 GUSTIN AVE
ATTLEBORO MA
02703-2409
US

IV. Provider business mailing address

15 GUSTIN AVE
ATTLEBORO MA
02703-2409
US

V. Phone/Fax

Practice location:
  • Phone: 617-962-5705
  • Fax:
Mailing address:
  • Phone: 617-962-5705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. NOFISAT ABIOLA OSHO
Title or Position: CEO
Credential:
Phone: 617-962-5705