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Organization
HASKELL LTD PARTNERSHIP
Active
Organization
HASKELL LTD PARTNERSHIP
Active
Other names
Landmark at Longwood
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL DORNFELD RN (EXECUTIVE DIRECTOR)
(617) 975-0110
Entity
Organization
Contact information
Practice address
63 PARKER HILL AVE, ROXBURY CROSSING, MA 02120-3218
(617) 975-0110
(917) 975-0140
Mailing address
63 PARKER HILL AVE, ROXBURY CROSSING, MA 02120-3218
(617) 975-0110
(917) 975-0140
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1905350
MASS HEALTH PROVIDER #
MA
Enumeration date
09/27/2005
Last updated
08/22/2020
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