Provider Demographics
NPI:1346412764
Name:THE LEDGES
Entity Type:Organization
Organization Name:THE LEDGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARONE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:508-473-6520
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-0038
Mailing Address - Country:US
Mailing Address - Phone:508-473-6520
Mailing Address - Fax:508-473-9727
Practice Address - Street 1:55 ADIN ST
Practice Address - Street 2:
Practice Address - City:HOPEDALE
Practice Address - State:MA
Practice Address - Zip Code:01747-1237
Practice Address - Country:US
Practice Address - Phone:508-473-6520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1766320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities