Organization
BEAUMONT AT UNIVERSITY CAMPUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY SACON (CFO)
(508) 898-3490
Entity
Organization
Contact information
Practice address
378 PLANTATION STREET, WORCESTER, MA 01605
(508) 755-7300
Mailing address
378 PLANTATION STREET, WORCESTER, MA 01605
(508) 755-7300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0940763
—
MA
Enumeration date
06/25/2008
Last updated
12/04/2008
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