Organization
GAHCR II HYDE PARK SNF TRS SUB, LLC
Active
Other names
Park Place Rehabilitation and Skilled Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C. BANE (OWNER/MEMBER)
(781) 474-2263
Entity
Organization
Contact information
Practice address
113 CENTRAL AVE, HYDE PARK, MA 02136-3021
(617) 361-2388
(617) 364-3112
Mailing address
113 CENTRAL AVE, HYDE PARK, MA 02136-3021
(617) 361-2388
(617) 364-3112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
01/29/2021
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