Organization
WINGATE AT WILBRAHAM, INC.
Active
Other names
Wingate at Wilbraham 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
9 MAPLE ST, WILBRAHAM, MA 01095-1730
(413) 596-2411
(413) 599-1738
Mailing address
63 KENDRICK ST, NEEDHAM, MA 02494-2708
(781) 707-9085
(781) 707-9285
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0885
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026240B
—
MA
Enumeration date
05/08/2006
Last updated
10/05/2012
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