Provider Demographics
NPI:1326384140
Name:FSJ & PN WORLD VISIONS INC
Entity Type:Organization
Organization Name:FSJ & PN WORLD VISIONS INC
Other - Org Name:COZY CORNER ADULT DAY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIE
Authorized Official - Middle Name:ALLIANCE
Authorized Official - Last Name:DJOUSSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-249-6061
Mailing Address - Street 1:257 COUNTRY CLUB WAY
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-4101
Mailing Address - Country:US
Mailing Address - Phone:781-249-6061
Mailing Address - Fax:
Practice Address - Street 1:98 NICKS ROCK RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4172
Practice Address - Country:US
Practice Address - Phone:781-249-6061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-26
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care