Provider Demographics
NPI:1447491915
Name:JEWISH FAMILY SERVICE OF THE NORTH SHORE, INC.
Entity type:Organization
Organization Name:JEWISH FAMILY SERVICE OF THE NORTH SHORE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:R
Authorized Official - Last Name:FIRGER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MSW
Authorized Official - Phone:978-741-7878
Mailing Address - Street 1:2 EAST INDIA SQUARE
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3700
Mailing Address - Country:US
Mailing Address - Phone:978-741-7878
Mailing Address - Fax:978-741-8383
Practice Address - Street 1:2 EAST INDIA SQUARE
Practice Address - Street 2:SUITE #200
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3700
Practice Address - Country:US
Practice Address - Phone:978-741-7878
Practice Address - Fax:978-741-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care