Provider Demographics
NPI:1932233376
Name:ATTLEBORO ENTERPRISES, INC
Entity Type:Organization
Organization Name:ATTLEBORO ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PILKINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-695-4046
Mailing Address - Street 1:284 JOHN L DIETSCH BLVD
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:02763-1077
Mailing Address - Country:US
Mailing Address - Phone:508-695-4046
Mailing Address - Fax:508-695-4080
Practice Address - Street 1:284 JOHN L DIETSCH BLVD
Practice Address - Street 2:
Practice Address - City:ATTLEBORO FALLS
Practice Address - State:MA
Practice Address - Zip Code:02763-1077
Practice Address - Country:US
Practice Address - Phone:508-695-4046
Practice Address - Fax:508-695-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1312529251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services