Provider Demographics
NPI:1184099434
Name:PATRICIA PAISLEY
Entity type:Organization
Organization Name:PATRICIA PAISLEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:PAISLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:161-776-7238
Mailing Address - Street 1:2 CANAAN ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02126-3211
Mailing Address - Country:US
Mailing Address - Phone:617-296-1657
Mailing Address - Fax:617-298-2497
Practice Address - Street 1:2 CANAAN ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02126-3211
Practice Address - Country:US
Practice Address - Phone:617-296-1657
Practice Address - Fax:617-298-2497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health