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THE ARC OF THE SOUTH SHORE, INC.

Agencies Supports Brokerage

Provider NPI: 1447306089

Organization Information:
Organization Name:  THE ARC OF THE SOUTH SHORE, INC.
Organization is not Subpart
Authorized Official:  DARYL ANN COOK-IVAN  EXECUTIVE DIRECTOR  781-335-3023

Practice Location:
20 POND PARK RD.  HINGHAM, MA 02043 US
Tel: 781-335-3023  Fax: 781-331-6021

Business Mailing Address:
20 POND PARK RD.  HINGHAM, MA 02043 US
Tel: 781-335-3023  Fax: 781-331-6021

NPI Information:
NPI: 1447306089
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251X00000XAgencies
Supports Brokerage

Other Provider Identifiers:

IssuerNumberStateType
1901656MA05
110027983DMA05



American Medical Association 2012 taxonomy code information

Code: 251X00000X

Type:

Classification:



Definition:



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