Healthcare Provider Details

I. General information

NPI: 1316065782
Provider Name (Legal Business Name): GREATER BOSTON GUILD FOR THE BLIND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 CENTRE ST
BOSTON MA
02132-3309
US

IV. Provider business mailing address

15 W 65TH ST 10TH FLOOR
NEW YORK NY
10023-6601
US

V. Phone/Fax

Practice location:
  • Phone: 617-323-5111
  • Fax:
Mailing address:
  • Phone: 212-769-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateMA

VIII. Authorized Official

Name: DR. ALAN R MORSE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 212-769-6215