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NPI Code Detail

MEDICARE: CARIBBEAN FOUNDATION OF BOSTON

MEDICARE: CARIBBEAN FOUNDATION OF 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
1251E00000XHome Health AgencyMA

General Provider Information

NPI Number : 1679619100
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARIBBEAN FOUNDATION OF BOSTON
Provider Business Mailing Address
First Line : 317 BLUE HILL AVE
Second Line :
City : DORCHESTER
State : MA
Zip : 02121-4302
Country : US
Telephone Number : 617-445-1228
Fax Number : 617-427-6355
Provider Business Practice Location Address
First Line : 317 BLUE HILL AVE
Second Line :
City : DORCHESTER
State : MA
Zip : 02121-4302
Country : US
Telephone Number : 617-445-1228
Fax Number : 617-427-6355
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. BEULAH PROVIDENCE
Credential :
Telephone Number : 617-445-1228
Provider Enumeration Date : 01/30/2007
Last Update Date : 08/22/2020

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Directions to “CARIBBEAN FOUNDATION OF BOSTON ” 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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