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Organization

8 BUTLER ST., INC.

Active
Other names
Blackstone Nursing Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER H. THISSE (CONTROLLER)
(781) 762-0703
Entity
Organization

Contact information

Practice address
8 BUTLER ST, BLACKSTONE, MA 01504-1541
(508) 883-5818
(508) 883-5819
Mailing address
80 ACCESS RD, NORWOOD, MA 02062-5237
(781) 762-0703
(781) 762-2099

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0145
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0692820001
MEDICARE NSC
MA
05
0915548
MA
Enumeration date
12/12/2006
Last updated
12/16/2011
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