Organization
BRAINTREE MANOR NURSING LLC
Active
Other names
Braintree Manor Rehab and Nsg Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD ROLPH (CFO)
(781) 297-8626
Entity
Organization
Contact information
Practice address
1102 WASHINGTON ST, BRAINTREE, MA 02184-5438
(781) 848-3100
Mailing address
50 KERRY PL, NORWOOD, MA 02062-4775
(781) 619-0250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0710
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926060
—
MA
Enumeration date
01/19/2006
Last updated
08/22/2020
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