Provider Demographics
NPI:1861854606
Name:AMAZING HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:AMAZING HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:O
Authorized Official - Last Name:FAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-961-3241
Mailing Address - Street 1:37 ROSE GLEN ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-2448
Mailing Address - Country:US
Mailing Address - Phone:781-961-3241
Mailing Address - Fax:
Practice Address - Street 1:37 ROSE GLEN ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-2448
Practice Address - Country:US
Practice Address - Phone:781-961-3241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency