Provider Demographics
NPI:1932646924
Name:ORELUS, GECINDA
Entity Type:Individual
Prefix:
First Name:GECINDA
Middle Name:
Last Name:ORELUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 OSCEOLA ST
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-6471
Mailing Address - Country:US
Mailing Address - Phone:857-251-6407
Mailing Address - Fax:
Practice Address - Street 1:31 OSCEOLA ST
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-6471
Practice Address - Country:US
Practice Address - Phone:857-251-6407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-27
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities