Healthcare Provider Details
I. General information
NPI: 1982509436
Provider Name (Legal Business Name): MORRISSEY MARKET INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/13/2026
Last Update Date: 10/13/2026
Certification Date: 10/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 MEADOW RD
BOSTON MA
02136-2365
US
IV. Provider business mailing address
200 MEADOW RD
BOSTON MA
02136-2365
US
V. Phone/Fax
- Phone: 617-237-0228
- Fax:
- Phone: 617-237-0228
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRAD
MCNAMARA
Title or Position: CEO
Credential:
Phone: 617-719-9253