Healthcare Provider Details

I. General information

NPI: 1518310788
Provider Name (Legal Business Name): HMEA DBA TECHACCESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2016
Last Update Date: 07/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 FORGE PARK
FRANKLIN MA
02038-3138
US

IV. Provider business mailing address

110 JEFFERSON BLVD STE I
WARWICK RI
02888-3854
US

V. Phone/Fax

Practice location:
  • Phone: 508-298-1100
  • Fax:
Mailing address:
  • Phone: 401-463-0202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: KELLY CHARLEBOIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 401-463-0202