Lange Rest Homes

NPI 1093702664 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1093702664
Enumeration Date 09/29/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name WILLIAM JOHN WILLIAM
Position ADMINISTRATOR
Phone (508) 755-6404
Fax (508) 753-8770
Practice Location
572 BURNCOAT ST
WORCESTER MA, 01605, US
Phone (508) 755-6404
Fax (508) 753-8770
Business Location
572 BURNCOAT ST
WORCESTER MA, 01605, US
Phone (508) 755-6404
Fax (508) 753-8770
Toxanomy
Taxonomy Code 311Z00000X
License State Massachusetts
License Number 830
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According to our database, Lange Rest Homes NPI is 1093702664, taxonomy code is 311Z00000X and license number is 830, license state is located at Massachusetts. Lange Rest Homes physically located at 572 Burncoat St, Worcester MA, 01605. NPI Number 1033115704 has the healthcare provider type.

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1093702664 NPI number is provided on an as is basis without warranty of any kind. 1093702664 is maintained by the National Plan & Provider Enumeration System. The contents of Lange Rest Homes are for informational purposes only.