BAY COVE HUMAN SERVICES NPI 1639395007

NPI Information

BAY COVE HUMAN SERVICES is a public health or welfare in Boston, MA. BAY COVE HUMAN SERVICES NPI is 1639395007. The provider is registered as an organization entity type.

The provider's business location address is:

66 CANAL ST
BOSTON, MA
ZIP 02114-002
Phone: (617) 371-3085
Fax: (617) 371-3034

The provider's authorized official is Stanley Connors .
The authorized official title is Executive Director and has the following contact phone number (617) 371-3001.

The CLIA number assigned to this NPI record is 22D2016294 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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