Provider Demographics
NPI:1386863579
Name:HABILITATION ASSISTANCE CORPORATION
Entity Type:Organization
Organization Name:HABILITATION ASSISTANCE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-746-7433
Mailing Address - Street 1:434 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-7312
Mailing Address - Country:US
Mailing Address - Phone:508-746-7433
Mailing Address - Fax:508-746-7544
Practice Address - Street 1:25 BARLOWS LANDING RD
Practice Address - Street 2:
Practice Address - City:POCASSET
Practice Address - State:MA
Practice Address - Zip Code:02559-4916
Practice Address - Country:US
Practice Address - Phone:508-746-7433
Practice Address - Fax:508-746-7544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1304941Medicare ID - Type UnspecifiedPROVIDER NUMBER