Provider Demographics
NPI:1073906350
Name:STANDARDS CAREGIVES AFC
Entity Type:Organization
Organization Name:STANDARDS CAREGIVES AFC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-922-0088
Mailing Address - Street 1:100 CUMMINGS CTR
Mailing Address - Street 2:SUITE 235C
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6115
Mailing Address - Country:US
Mailing Address - Phone:978-922-0088
Mailing Address - Fax:978-922-0422
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:SUITE 235C
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-922-0088
Practice Address - Fax:978-922-0422
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STANDARDS HOME CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-11
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency