Provider Demographics
NPI:1245744093
Name:ST. FRANCIS OF ASISSI RESIDENCES AT BRAINTREE
Entity Type:Organization
Organization Name:ST. FRANCIS OF ASISSI RESIDENCES AT BRAINTREE
Other - Org Name:EXTENDED CARE SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-848-8383
Mailing Address - Street 1:53 INDEPENDENCE AVE OFC 1
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-1768
Mailing Address - Country:US
Mailing Address - Phone:781-848-8383
Mailing Address - Fax:781-849-1932
Practice Address - Street 1:53 INDEPENDENCE AVE OFC 1
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-1768
Practice Address - Country:US
Practice Address - Phone:781-848-8383
Practice Address - Fax:781-849-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care