Provider Demographics
NPI:1568473718
Name:CATHOLIC CHARITABLE BUREAU OF THE ARCHDIOCESE OF BOSTON, INC.DBA
Entity Type:Organization
Organization Name:CATHOLIC CHARITABLE BUREAU OF THE ARCHDIOCESE OF BOSTON, INC.DBA
Other - Org Name:LABOURE CENTER ADULT DAY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT FOR PROGRAMS
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-451-7940
Mailing Address - Street 1:275 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-1943
Mailing Address - Country:US
Mailing Address - Phone:617-268-9670
Mailing Address - Fax:617-464-2669
Practice Address - Street 1:275 W BROADWAY
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02127-1943
Practice Address - Country:US
Practice Address - Phone:617-268-9670
Practice Address - Fax:617-464-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care