Organization
ST. LUKE'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA A BROWN (ADMINISTRATOR)
(413) 736-5494
Entity
Organization
Contact information
Practice address
85 SPRING ST, SPRINGFIELD, MA 01105-1211
(413) 736-5494
(413) 746-5075
Mailing address
85 SPRING ST, SPRINGFIELD, MA 01105-1211
(413) 736-5494
(413) 746-5075
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
863
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5508312
—
MA
Enumeration date
11/04/2005
Last updated
08/22/2020
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