Organization
279 CABOT STREET OPERATIONS LLC
Active
Parent organization
SUMMIT CARE LLC
Other names
Renaissance Manor on Cabot
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT CARE LLC
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
279 CABOT ST, HOLYOKE, MA 01040-3139
(413) 536-3435
(413) 536-3436
Mailing address
279 CABOT ST, HOLYOKE, MA 01040-3139
(413) 536-3435
(413) 536-3436
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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