Organization
VILLAGE REST HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY MARCELLUS (DIRECTOR)
(508) 583-0040
Entity
Organization
Contact information
Practice address
197 W CHESTNUT ST, BROCKTON, MA 02301-6753
(508) 583-0040
Mailing address
30 SINCLAIR RD, BROCKTON, MA 02302-4452
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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