| La Alianza Hispana, Inc | |
|
409 Dudley St Roxbury MA 02119-3366 | |
| (617) 427-7175 | |
| (617) 442-2259 |
| Full Name | La Alianza Hispana, Inc |
|---|---|
| Speciality | Clinic/center - Adult Day Care |
| Location | 409 Dudley St, Roxbury, Massachusetts |
| Authorized Official Name and Position | Rosa Maria Colon (CONTRACT MANAGER) |
| Authorized Official Contact | 6174277175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Alianza Hispana, Inc 409 Dudley St Roxbury MA 02119-3366 Ph: (617) 427-7175 | La Alianza Hispana, Inc 409 Dudley St Roxbury MA 02119-3366 Ph: (617) 427-7175 |
| NPI Number | 1023232998 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023232998 | NPI | - | NPPES |
| 1901559 | Medicaid | MA |
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