Provider Demographics
NPI:1588793566
Name:CONG. OF PRESENTATION OF MARY,INC.
Entity type:Organization
Organization Name:CONG. OF PRESENTATION OF MARY,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVINCIAL SUPERIOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CECILE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLASSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-685-0980
Mailing Address - Street 1:209 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3849
Mailing Address - Country:US
Mailing Address - Phone:978-687-1369
Mailing Address - Fax:978-975-1998
Practice Address - Street 1:209 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3849
Practice Address - Country:US
Practice Address - Phone:978-687-1369
Practice Address - Fax:978-975-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1902083OtherPROVIDER NUMBER