Dds Autism Waiver Services

LBN: Ma Department Of Developmental Services
Dds Autism Waiver Services is an health care organization with primary practice located at 500 Harrison Ave , Boston MA 02118-2439. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Ma Department Of Developmental Services can be contacted via phone (617) 624-7878, or through Maillet, Jeanette via phone (617) 624-7814.

Contact Information

Primary practice address
500 Harrison Ave Boston MA 02118-2439
Phone: (617) 624-7878
Fax: (617) 624-7575
Website:
Map and Directions
Authorized official contact:
Name: Maillet, Jeanette
Phone: (617) 624-7814

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1780862193
LBN Legal business name Ma Department Of Developmental Services
DBA Doing business as Dds Autism Waiver Services
Authorized official Maillet, Jeanette
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 7th, 2008
Last updated Oct 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780862193 NPPES
Massachusetts MEDICAID 1803875

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