Provider Demographics
NPI:1780058180
Name:GRAFTON MOBILITY SERVICES
Entity type:Organization
Organization Name:GRAFTON MOBILITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMARANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-453-4324
Mailing Address - Street 1:1463 GRAFTON RD
Mailing Address - Street 2:
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-4309
Mailing Address - Country:US
Mailing Address - Phone:617-453-4323
Mailing Address - Fax:
Practice Address - Street 1:1463 GRAFTON RD
Practice Address - Street 2:
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-4309
Practice Address - Country:US
Practice Address - Phone:617-654-3245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0987654343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)