Organization
VK NATICK, LLC
Active
Other names
Eliot Center for Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY BOKOW (VICE PRESIDENT)
(516) 705-4802
Entity
Organization
Contact information
Practice address
168 W CENTRAL ST, NATICK, MA 01760-4122
(508) 655-1000
Mailing address
46 STAUDERMAN AVE, LYNBROOK, NY 11563-2524
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095729A
—
MA
Enumeration date
02/21/2013
Last updated
05/02/2016
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