| Somerville-cambridge Elder Services, Inc | |
|
61 Medford St Ste 3 Somerville MA 02143-3422 | |
| (617) 628-2601 | |
| Not Available |
| Full Name | Somerville-cambridge Elder Services, Inc |
|---|---|
| Speciality | Case Management |
| Location | 61 Medford St Ste 3, Somerville, Massachusetts |
| Authorized Official Name and Position | Donna Vaskelis (CFO) |
| Authorized Official Contact | 6176282601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somerville-cambridge Elder Services, Inc 61 Medford St Ste 3 Somerville MA 02143-3422 Ph: (617) 628-2601 | Somerville-cambridge Elder Services, Inc 61 Medford St Ste 3 Somerville MA 02143-3422 Ph: (617) 628-2601 |
| NPI Number | 1245086321 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245086321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (NU) | Secondary |
| 251B00000X | Case Management | (NU) | Primary |
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