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Organization

ANNS REST HOME INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLARD L BASLER PRESIDENT (ADMINISTRATOR)
(617) 825-1793
Entity
Organization

Contact information

Practice address
66 BOWDOIN AVE, DORCHESTER, MA 02121-3902
(617) 825-1793
(617) 825-1793
Mailing address
66 BOWDOIN AVE, DORCHESTER, MA 02121-3902
(617) 825-1793
(617) 825-1793

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2560
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5508339
MA
Enumeration date
08/05/2007
Last updated
08/05/2007
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