Provider Demographics
NPI:1962838920
Name:MONOMOY TREASURE CHEST
Entity Type:Organization
Organization Name:MONOMOY TREASURE CHEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOVELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-212-3467
Mailing Address - Street 1:59 BELL RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02633-2820
Mailing Address - Country:US
Mailing Address - Phone:774-212-3467
Mailing Address - Fax:
Practice Address - Street 1:59 BELL RD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02633-2820
Practice Address - Country:US
Practice Address - Phone:774-212-3467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies