Provider Demographics
NPI:1881951952
Name:BOSTON HEALTH AND RECOVERY SERVICES, INC
Entity type:Organization
Organization Name:BOSTON HEALTH AND RECOVERY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDOBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-242-4019
Mailing Address - Street 1:435 LANCASTER ST
Mailing Address - Street 2:SUITE 349A
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4397
Mailing Address - Country:US
Mailing Address - Phone:978-710-8142
Mailing Address - Fax:978-291-2896
Practice Address - Street 1:435 LANCASTER ST
Practice Address - Street 2:SUITE 349A
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4397
Practice Address - Country:US
Practice Address - Phone:978-710-8142
Practice Address - Fax:978-291-2896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health