Basic Information
| Provider Information | |||||||||
| NPI: | 1972944882 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MEDICAL COMMUNITY SERVICES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 601 | ||||||||
| Address2: | |||||||||
| City: | FRAMINGHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017040601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087335951 | ||||||||
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| Practice Location | |||||||||
| Address1: | 264 UNION AVE | ||||||||
| Address2: | SUITE 03 | ||||||||
| City: | FRAMINGHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017026348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087335951 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2013 | ||||||||
| LastUpdateDate: | 10/15/2013 | ||||||||
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| AuthorizedOfficialLastName: | AKINKUOYE | ||||||||
| AuthorizedOfficialFirstName: | GEORGE | ||||||||
| AuthorizedOfficialMiddleName: | OLUSOLA | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/CEO | ||||||||
| AuthorizedOfficialTelephone: | 5087335951 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | RN, MSN | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251J00000X | 110096868A | MA | N | Agencies | Nursing Care | 253Z00000X | Y | Agencies | In Home Supportive Care |
No ID Information.