# DONNA KAY REST HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376538058
- **Authorized official:** JENA KUZDZAL (BOOKKEEPER)
- **Authorized official phone:** (508) 949-7455

## Contact information

- **Practice address:** 16 MARBLE ST, WORCESTER, MA 01603-2405
- **Practice address phone:** (508) 755-6667
- **Practice address fax:** (508) 831-7952
- **Mailing address:** 16 MARBLE ST, WORCESTER, MA 01603-2405
- **Mailing address phone:** (508) 755-6667
- **Mailing address fax:** (508) 831-7952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 08/22/2020