Charlene Manor

NPI 1184044455 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1184044455
Enumeration Date 04/24/2014
Last Updated 04/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TINA LYNN TINA
Position COTA
Phone (413) 774-3724
Fax
Practice Location
130 COLRAIN RD
GREENFIELD MA, 01301-9625, US
Phone (413) 774-3724
Fax
Business Location
150 HAMILTON DR
CONWAY MA, 01341-9605, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State Massachusetts
License Number 1668
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According to our database, Charlene Manor NPI is 1184044455, taxonomy code is 314000000X and license number is 1668, license state is located at Massachusetts. Charlene Manor physically located at 130 Colrain Rd, Greenfield MA, 01301-9625. NPI Number 1033115704 has the healthcare provider type.

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1184044455 NPI number is provided on an as is basis without warranty of any kind. 1184044455 is maintained by the National Plan & Provider Enumeration System. The contents of Charlene Manor are for informational purposes only.