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Commonwealth of Mass - DDS — NPI 1306977822, Belmont, MA | NPI Central

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NPI 1306977822

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Commonwealth of Mass - DDS

NPI 1306977822 · Intellectual Disabilities Intermediate Care Facility · Belmont, MA

Provider details

NPI number: 1306977822
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Jeanette Maillet, Chief Financial Officer(617) 727-5608

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities

Practice location

200 Trapelo Road

Belmont, MA 02452-6302

Phone: (781) 894-3600

Approximate (ZIP-level) locationGet directions

More MA providers

Mailing address

500 Harrison Ave

Boston, MA 02118-2439

Other names (DBA / former)

Doing business as: Fernald Developmental Center

Registry dates

Enumerated: 2007-03-08
Last updated: 2009-10-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.