Provider Demographics
NPI:1942449723
Name:CARLINE CAZEAU
Entity Type:Organization
Organization Name:CARLINE CAZEAU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CAZEAU
Authorized Official - Suffix:
Authorized Official - Credentials:NURSING
Authorized Official - Phone:617-775-6179
Mailing Address - Street 1:25 ALPINE ST
Mailing Address - Street 2:# 37
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-2068
Mailing Address - Country:US
Mailing Address - Phone:617-775-6179
Mailing Address - Fax:
Practice Address - Street 1:25 ALPINE ST
Practice Address - Street 2:# 37
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2068
Practice Address - Country:US
Practice Address - Phone:617-775-6179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA193164251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health