Healthcare Provider Details

I. General information

NPI: 1376673475
Provider Name (Legal Business Name): BTDT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EDGELL RD SUITE 24
FRAMINGHAM MA
01701-4881
US

IV. Provider business mailing address

1 EDGELL RD SUITE 24
FRAMINGHAM MA
01701-4881
US

V. Phone/Fax

Practice location:
  • Phone: 508-626-1944
  • Fax:
Mailing address:
  • Phone: 508-626-1944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7252
License Number StateMA

VIII. Authorized Official

Name: PATRICIA A SERVAES
Title or Position: CEO & PRESIDENT
Credential:
Phone: 508-626-1944