Organization
COURTYARD NURSING CARE CENTER PARTNERSHIP
Active
Other names
Courtyard Nursing Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA LOVELACE (PARALEGAL)
(505) 468-4742
Entity
Organization
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 391-5400
(781) 391-4254
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0933
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010786
NEIGHBORHOOD HEALTH PLAN
—
05
—
0940194
—
MA
01
—
2222554501
BC/BS OF MA
MA
01
—
2222554510
BC/BS - OUTPATIEN REHAB
MA
01
—
551842
AETNA-HMO
—
01
—
71-00017
UNITED - EVERCARE
—
01
—
802272
TUFTS
—
01
—
905414
HARVARD PILGRAM
—
Enumeration date
05/24/2006
Last updated
07/27/2020
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