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NPI Code Detail

MEDICARE: SOMERVILLE HOMELESS COALITION

MEDICARE: SOMERVILLE HOMELESS COALITION
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1538409784
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOMERVILLE HOMELESS COALITION
Provider Business Mailing Address
First Line : 1 DAVIS SQ
Second Line : BASEMENT LEVEL
City : SOMERVILLE
State : MA
Zip : 02144-2904
Country : US
Telephone Number : 617-623-6111
Fax Number : 617-776-7165
Provider Business Practice Location Address
First Line : 1 DAVIS SQ
Second Line : BASEMENT LEVEL
City : SOMERVILLE
State : MA
Zip : 02144-2904
Country : US
Telephone Number : 617-623-6111
Fax Number : 617-776-7165
Authorized Official
Title or Position : DEPUTY DIRECTOR
Name : MR. MICHAEL LIBBY
Credential : MSW, LCSW
Telephone Number : 617-623-6111
Provider Enumeration Date : 02/26/2013
Last Update Date : 02/26/2013

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Directions to “SOMERVILLE HOMELESS COALITION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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