Mohammed Eisa
Mohammed Eisa is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Boston, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
759 Bennington St 1Boston, MA 02128-1133
Phone: (804) 873-6581
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1245609064 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 22, 2015 |
| Last updated in NPPES | September 22, 2015 |