Provider Demographics
NPI:1962767053
Name:TOWARD INDEPENDENT LIVING AND LEARNING
Entity type:Organization
Organization Name:TOWARD INDEPENDENT LIVING AND LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR MONITOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JULIANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:781-929-3992
Mailing Address - Street 1:61 MILL POND LN
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-5309
Mailing Address - Country:US
Mailing Address - Phone:781-929-3992
Mailing Address - Fax:
Practice Address - Street 1:61 MILL POND LN
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5309
Practice Address - Country:US
Practice Address - Phone:781-929-3992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care