Provider First Line Business Practice Location Address:
391 BROADWAY
Provider Second Line Business Practice Location Address:
CHA EVERETT CARE CENTER
Provider Business Practice Location Address City Name:
EVERETT
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-394-7702
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2020