Organization
SENIOR RESIDENTIAL CARE - KINGSTON, INC.
Active
Other names
Wingate at Silver Lake Rehab. & Skilled Nsg. Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMILYN M. LEVIN ESQ. (CFO)
(781) 707-9510
Entity
Organization
Contact information
Practice address
17 CHIPMAN WAY, KINGSTON, MA 02364-1039
(781) 585-4100
(781) 585-1651
Mailing address
63 KENDRICK ST, NEEDHAM, MA 02494-2708
(781) 707-9085
(781) 707-9285
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
MA
314000000X
Skilled Nursing Facility
Primary
0931
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928160
—
MA
05
—
110026630A
—
MA
05
—
110026630C
—
MA
05
—
1906119
—
MA
Enumeration date
05/09/2006
Last updated
10/05/2012
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