Organization
BEAUMONT WARDS LANE TRUST
Active
Other names
Beaumont Nursing Home, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY SACON (CFO)
(508) 898-3490
Entity
Organization
Contact information
Practice address
85 BEAUMONT DR, NORTHBRIDGE, MA 01534-1093
(508) 234-9771
(508) 234-2635
Mailing address
3 LYMAN ST, WESTBOROUGH, MA 01581-1442
(508) 898-3490
(508) 898-1805
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0160
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0900419
—
MA
Enumeration date
10/03/2005
Last updated
03/12/2012
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