Provider Demographics
NPI:1366956526
Name:A.H.H.H. CAPE COD, LLC
Entity type:Organization
Organization Name:A.H.H.H. CAPE COD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:WOODBREY
Authorized Official - Suffix:
Authorized Official - Credentials:MASSACHUSETTS HIS
Authorized Official - Phone:508-375-5314
Mailing Address - Street 1:71 MINTON LN
Mailing Address - Street 2:
Mailing Address - City:WEST BARNSTABLE
Mailing Address - State:MA
Mailing Address - Zip Code:02668-1818
Mailing Address - Country:US
Mailing Address - Phone:508-375-5314
Mailing Address - Fax:
Practice Address - Street 1:71 MINTON LN
Practice Address - Street 2:
Practice Address - City:WEST BARNSTABLE
Practice Address - State:MA
Practice Address - Zip Code:02668-1818
Practice Address - Country:US
Practice Address - Phone:508-375-5314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-27
Last Update Date:2017-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA450237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty