Healthcare Provider Details

I. General information

NPI: 1992520522
Provider Name (Legal Business Name): VETERANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 GROVE ST
WORCESTER MA
01605-2600
US

IV. Provider business mailing address

69 GROVE ST
WORCESTER MA
01605-2600
US

V. Phone/Fax

Practice location:
  • Phone: 508-791-1213
  • Fax:
Mailing address:
  • Phone: 508-791-1213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ARLANNA L COLONIES
Title or Position: INTERIM BUSINESS MANAGER
Credential:
Phone: 774-823-4252