Organization
REVOLUTION CHARLWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DEUTSCH (PRINCIPAL)
(781) 762-7700
Entity
Organization
Contact information
Practice address
305 WALPOLE ST, NORWOOD, MA 02062-3021
(781) 762-7700
Mailing address
305 WALPOLE ST, NORWOOD, MA 02062-3021
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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