Provider Demographics
NPI:1164830477
Name:SOUTH SHORE SUPPORT SERVICES INC.
Entity Type:Organization
Organization Name:SOUTH SHORE SUPPORT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-331-7870
Mailing Address - Street 1:PO BOX 890126
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-0003
Mailing Address - Country:US
Mailing Address - Phone:781-331-7870
Mailing Address - Fax:
Practice Address - Street 1:317 LIBBEY INDUSTRIAL PKWY UNIT B300
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3113
Practice Address - Country:US
Practice Address - Phone:781-331-7878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health