# MEDWAY COUNTRY MANOR INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDWAY COUNTRY MANOR, INC.
- **Other names:** Generations Outpatient Wellness & Rehab - Occupational Therapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609049329
- **Legal business name:** MEDWAY COUNTRY MANOR, INC.
- **Authorized official:** MR. JOHN PETERS III (TREASURER)
- **Authorized official phone:** (508) 533-6634

## Contact information

- **Practice address:** 115 HOLLISTON ST, MEDWAY, MA 02053-1954
- **Practice address phone:** (508) 533-9893
- **Practice address fax:** (508) 533-7048
- **Mailing address:** 115 HOLLISTON ST, MEDWAY, MA 02053-1954
- **Mailing address phone:** (508) 533-9893
- **Mailing address fax:** (508) 533-7048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 0840 | MA | Yes |

## Other

- **Enumeration date:** 04/03/2008
- **Last updated:** 04/03/2008