Provider Demographics
NPI:1780670661
Name:ST. CHRETIENNE EDUCATIONAL INSTITUTE, INC.
Entity Type:Organization
Organization Name:ST. CHRETIENNE EDUCATIONAL INSTITUTE, INC.
Other - Org Name:ST. CHRETIENNE RETIREMENT RESIDENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVINCIAL SUPERIOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUDOIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-485-0740
Mailing Address - Street 1:197 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-1169
Mailing Address - Country:US
Mailing Address - Phone:508-485-0740
Mailing Address - Fax:508-481-0663
Practice Address - Street 1:197 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1169
Practice Address - Country:US
Practice Address - Phone:508-485-0740
Practice Address - Fax:508-481-0663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5508363310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility