Provider Demographics
NPI:1679770457
Name:FRANCOIS, GUERLINE M (RN)
Entity Type:Individual
Prefix:
First Name:GUERLINE
Middle Name:M
Last Name:FRANCOIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-3907
Mailing Address - Country:US
Mailing Address - Phone:781-821-2865
Mailing Address - Fax:781-821-2865
Practice Address - Street 1:17 GREENWOOD RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-3907
Practice Address - Country:US
Practice Address - Phone:781-821-2865
Practice Address - Fax:781-821-2865
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA266832311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0720674Medicaid