Healthcare Provider Details

I. General information

NPI: 1407855000
Provider Name (Legal Business Name): FRC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 FULTON ST
BOSTON MA
02109-1402
US

IV. Provider business mailing address

70 FULTON ST
BOSTON MA
02109-1402
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-9700
  • Fax:
Mailing address:
  • Phone: 617-726-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MAUREEN BANKS
Title or Position: PRESIDNET
Credential:
Phone: 617-726-4420