Organization
PARK AVENUE NURSING & REHABILITATION CENTER INC
Active
Other names
PARK AVENUE NURSING & REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALESSANDRONI (EXECUTIVE DIRECTOR)
(781) 648-9530
Entity
Organization
Contact information
Practice address
146 PARK AVE, ARLINGTON, MA 02476-5829
(781) 648-9530
(781) 646-3668
Mailing address
146 PARK AVE, ARLINGTON, MA 02476-5829
(781) 648-9530
(781) 646-3668
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0777
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0904988
—
MA
01
—
2222558401
BLUE CROSS PROVIDER #
MA
01
—
7100196
EVERCARE PROVIDER #
MA
01
—
904423
TUFTS HEALTH PLAN PROV #
MA
01
—
906183
HARVARD PILGRIM PROVID #
MA
Enumeration date
03/16/2007
Last updated
09/14/2011
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