Provider Demographics
NPI:1639304926
Name:MERIDIANS CENTRE FOR MASSAGE, INC.
Entity Type:Organization
Organization Name:MERIDIANS CENTRE FOR MASSAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNGARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-331-0400
Mailing Address - Street 1:515 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:N WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02191-1420
Mailing Address - Country:US
Mailing Address - Phone:781-331-0400
Mailing Address - Fax:
Practice Address - Street 1:515 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:N WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02191-1420
Practice Address - Country:US
Practice Address - Phone:781-331-0400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA28320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities