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Organization

DODGE PARK LLC

Active
Other names
Dodge Park Rest Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BEN HERLINGER (MEMBER/MANAGER)
(818) 571-8972
Entity
Organization

Contact information

Practice address
101 RANDOLPH RD, WORCESTER, MA 01606-2463
(508) 853-8180
(508) 853-4545
Mailing address
101 RANDOLPH RD, WORCESTER, MA 01606-2463
(508) 853-8180
(508) 853-4545

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1318
MA

Other

Enumeration date
08/07/2007
Last updated
08/07/2007
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