Organization
MOHAWK MANOR REST HOME, INC
Active
Other names
Mohawk Manor Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
STACY BISSELL (PRESIDENT)
(413) 625-6860
Entity
Organization
Contact information
Practice address
45 WATER ST, SHELBURNE FALLS, MA 01370-1126
(413) 625-6860
(413) 625-6136
Mailing address
45 WATER ST, SHELBURNE FALLS, MA 01370-1126
(413) 625-6860
(413) 625-6136
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1290
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5500907
—
MA
Enumeration date
05/11/2007
Last updated
08/22/2020
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