Organization
D'YOUVILLE SENIOR CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALEXANDER ALTENWEG (CHIEF FINANCIAL OFFICER)
(978) 569-1054
Entity
Organization
Contact information
Practice address
981 VARNUM AVE, LOWELL, MA 01854-1913
(978) 569-1054
(978) 569-1085
Mailing address
981 VARNUM AVE, LOWELL, MA 01854-1913
(978) 569-1054
(978) 569-1085
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0999547
—
MA
Enumeration date
09/09/2005
Last updated
04/05/2012
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