Provider Demographics
NPI:1669984753
Name:THE FOUNDATIONAL READING & EDUCATIONAL DEVELOPMENT CENTER, LLC
Entity type:Organization
Organization Name:THE FOUNDATIONAL READING & EDUCATIONAL DEVELOPMENT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:TABEEK
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CAGS
Authorized Official - Phone:781-618-1014
Mailing Address - Street 1:93 WHITING AVE
Mailing Address - Street 2:
Mailing Address - City:WHITMAN
Mailing Address - State:MA
Mailing Address - Zip Code:02382-1047
Mailing Address - Country:US
Mailing Address - Phone:781-618-1014
Mailing Address - Fax:
Practice Address - Street 1:93 WHITING AVE
Practice Address - Street 2:
Practice Address - City:WHITMAN
Practice Address - State:MA
Practice Address - Zip Code:02382-1047
Practice Address - Country:US
Practice Address - Phone:781-618-1014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-29
Last Update Date:2017-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care