Provider Demographics
NPI:1538307285
Name:DEICURA INCORPORATED
Entity type:Organization
Organization Name:DEICURA INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:V
Authorized Official - Last Name:KELLEHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-369-4130
Mailing Address - Street 1:184 W MAIN ST
Mailing Address - Street 2:#A
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-1243
Mailing Address - Country:US
Mailing Address - Phone:774-430-3341
Mailing Address - Fax:
Practice Address - Street 1:184 W MAIN ST
Practice Address - Street 2:#A
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-1243
Practice Address - Country:US
Practice Address - Phone:774-430-3341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care