Search › Massachusetts › Intellectual and/or Developmental Disabilities Residential Treatment Facility
Mohammed Eisa
NPI 1245609064 · on the registry since 2015 · sole proprietor
Practice
- Address
- 759 Bennington St
1
Boston, MA 02128 - Phone
- (804) 873-6581
Registry record
- Primary taxonomy
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
- Sex
- Male
- Record last updated
- 2015-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts