Provider Demographics
NPI:1982845715
Name:NORTH SHORE COMMUNITY ACTION PROGRAMS, INC.
Entity Type:Organization
Organization Name:NORTH SHORE COMMUNITY ACTION PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-531-0767
Mailing Address - Street 1:98 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-5553
Mailing Address - Country:US
Mailing Address - Phone:978-531-0767
Mailing Address - Fax:978-531-1012
Practice Address - Street 1:98 MAIN ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-5553
Practice Address - Country:US
Practice Address - Phone:978-531-0767
Practice Address - Fax:978-531-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care