Basic Information
| Provider Information | |||||||||
| NPI: | 1841289568 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DRAPER PLACE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 HOPEDALE ST | ||||||||
| Address2: | |||||||||
| City: | HOPEDALE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017471734 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084825995 | ||||||||
| FaxNumber: | 5084820600 | ||||||||
| Practice Location | |||||||||
| Address1: | 25 HOPEDALE ST | ||||||||
| Address2: | |||||||||
| City: | HOPEDALE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017471734 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084825995 | ||||||||
| FaxNumber: | 5084820600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | PILLO | ||||||||
| AuthorizedOfficialFirstName: | BRIAN | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5084825995 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | 1903985 | MA | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
No ID Information.