Provider Demographics
NPI:1568613388
Name:TOWN OF HOLLISTON
Entity Type:Organization
Organization Name:TOWN OF HOLLISTON
Other - Org Name:HOLLISTON SENIOR CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, HOLLISTON SENIOR CENTER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARENA-DEROSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-429-2624
Mailing Address - Street 1:150 GOULDING ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-2558
Mailing Address - Country:US
Mailing Address - Phone:508-429-0622
Mailing Address - Fax:508-429-0695
Practice Address - Street 1:150 GOULDING ST
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-2558
Practice Address - Country:US
Practice Address - Phone:508-429-0622
Practice Address - Fax:508-429-0695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare