Healthcare Provider Details

I. General information

NPI: 1013032408
Provider Name (Legal Business Name): LEAGUE SCHOOL OF GREATER BOSTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BOSTON PROVIDENCE TURNPIKE
E WALPOLE MA
02032
US

IV. Provider business mailing address

300 BOSTON PROVIDENCE TURNPIKE
E WALPOLE MA
02032
US

V. Phone/Fax

Practice location:
  • Phone: 508-850-3900
  • Fax: 508-660-2442
Mailing address:
  • Phone: 508-850-3900
  • Fax: 508-660-2442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANICE M MELVIN
Title or Position: CFO
Credential:
Phone: 508-850-3900