Provider Demographics
NPI:1912651910
Name:TOWN OF FREETOWN
Entity Type:Organization
Organization Name:TOWN OF FREETOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DESMARAIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-644-2202
Mailing Address - Street 1:PO BOX 438
Mailing Address - Street 2:
Mailing Address - City:ASSONET
Mailing Address - State:MA
Mailing Address - Zip Code:02702-0438
Mailing Address - Country:US
Mailing Address - Phone:508-644-2202
Mailing Address - Fax:
Practice Address - Street 1:3 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ASSONET
Practice Address - State:MA
Practice Address - Zip Code:02702-1117
Practice Address - Country:US
Practice Address - Phone:508-644-2202
Practice Address - Fax:508-644-2183
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF FREETOWN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare