Provider Demographics
NPI:1720415219
Name:MASSACHUSETTS CENTER FOR PEOPLE, WORK & LEARNING
Entity Type:Organization
Organization Name:MASSACHUSETTS CENTER FOR PEOPLE, WORK & LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WASIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-363-2733
Mailing Address - Street 1:259 JUNE STREET
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602
Mailing Address - Country:US
Mailing Address - Phone:508-363-2733
Mailing Address - Fax:508-755-6822
Practice Address - Street 1:259 JUNE ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602
Practice Address - Country:US
Practice Address - Phone:508-363-2733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health