MEDICARE: LEAGUE SCHOOL OF GREATER BOSTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1013032408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEAGUE SCHOOL OF GREATER BOSTON

Provider Business Mailing Address
First Line	:	300 BOSTON PROVIDENCE TURNPIKE
Second Line	:
City	:	E WALPOLE
State	:	MA
Zip	:	02032
Country	:	US
Telephone Number	:	508-850-3900
Fax Number	:	508-660-2442

Provider Business Practice Location Address
First Line	:	300 BOSTON PROVIDENCE TURNPIKE
Second Line	:
City	:	E WALPOLE
State	:	MA
Zip	:	02032
Country	:	US
Telephone Number	:	508-850-3900
Fax Number	:	508-660-2442

Authorized Official
Title or Position	:	CFO
Name	:	MRS. JANICE M MELVIN
Credential	:
Telephone Number	:	508-850-3900

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	09/11/2025

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