Basic Information
Provider Information
NPI: 1922237668
EntityType: 2
ReplacementNPI:  
OrganizationName: HEALTHCARE OPTIONS, INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: MANSFIELD ADULT DAY HEALTH CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10 EMORY ST
Address2:  
City: ATTLEBORO
State: MA
PostalCode: 027033002
CountryCode: US
TelephoneNumber: 5082220118
FaxNumber: 5082225871
Practice Location
Address1: 300 BRANCH ST
Address2:  
City: MANSFIELD
State: MA
PostalCode: 020482823
CountryCode: US
TelephoneNumber: 5082220118
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/02/2009
LastUpdateDate: 07/02/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: TRIER
AuthorizedOfficialFirstName: KATHLEEN
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: EXECUTIVE DIRECTOR AND CEO
AuthorizedOfficialTelephone: 5082220118
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: COMMUNITY HEALTH SYSTEMS, INC
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QA0600X  Y Ambulatory Health Care FacilitiesClinic/CenterAdult Day Care

No ID Information.


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