Organization
LANGE REST HOMES
Active
Other names
Burncoat Plains Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JOHN LANGE ADMINISTRATOR (ADMINISTRATOR)
(508) 755-6404
Entity
Organization
Contact information
Practice address
572 BURNCOAT ST, WORCESTER, MA 01605
(508) 755-6404
(508) 753-8770
Mailing address
572 BURNCOAT ST, WORCESTER, MA 01605
(508) 755-6404
(508) 753-8770
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
830
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5507278
—
MA
Enumeration date
09/29/2005
Last updated
08/22/2020
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