Provider Demographics
NPI:1649653643
Name:HERITAGE HEARING CARE OF NEW ENGLAND LLC
Entity type:Organization
Organization Name:HERITAGE HEARING CARE OF NEW ENGLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-490-8692
Mailing Address - Street 1:8 HERITAGE LN
Mailing Address - Street 2:
Mailing Address - City:MONSON
Mailing Address - State:MA
Mailing Address - Zip Code:01057-1157
Mailing Address - Country:US
Mailing Address - Phone:413-893-9423
Mailing Address - Fax:413-893-9463
Practice Address - Street 1:129 PALMER RD
Practice Address - Street 2:STE 3
Practice Address - City:MONSON
Practice Address - State:MA
Practice Address - Zip Code:01057-9576
Practice Address - Country:US
Practice Address - Phone:413-893-9423
Practice Address - Fax:413-893-9463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment