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Organization
COLEMAN HOUSE,LTD
Active
Organization
COLEMAN HOUSE,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK C BLAKE NHA (DIRECTOR)
(508) 351-9355
Entity
Organization
Contact information
Practice address
112 W MAIN ST, NORTHBOROUGH, MA 01532-1824
(508) 351-9355
(508) 351-1666
Mailing address
112 W MAIN ST, NORTHBOROUGH, MA 01532-1824
(508) 351-9355
(508) 351-1666
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900421
—
MA
Enumeration date
02/20/2007
Last updated
08/22/2020
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