Organization
THE LELAND HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M VOLOVICK (ADMINISTRATOR)
(617) 893-2557
Entity
Organization
Contact information
Practice address
21 NEWTON ST, WALTHAM, MA 02453-6004
(617) 893-2557
Mailing address
21 NEWTON ST, WALTHAM, MA 02453-6004
(617) 893-2557
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0743
MA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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