Organization
MI NURSING-RESTORATIVE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA E. GRANT (CEO/PRESIDENT)
(978) 685-6321
Entity
Organization
Contact information
Practice address
172 LAWRENCE ST, LAWRENCE, MA 01841-3849
(978) 685-6321
(978) 975-0050
Mailing address
172 LAWRENCE ST, LAWRENCE, MA 01841-3849
(978) 685-6321
(978) 975-0050
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
876
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0998958
—
MA
01
—
7100450
EVERCARE
MA
Enumeration date
09/19/2005
Last updated
04/21/2010
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