Organization
ANNEMARK NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELENA A. BEAN (PRESIDENT)
(781) 322-4861
Entity
Organization
Contact information
Practice address
133 SALEM ST, REVERE, MA 02151-1114
(781) 322-4861
(781) 324-1191
Mailing address
133 SALEM ST, REVERE, MA 02151-1114
(781) 322-4861
(781) 324-1191
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0864
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0914525
—
MA
01
—
225432
MEDEX
MA
01
—
670680
TUFTS PROVIDER NUMBER
MA
Enumeration date
11/15/2005
Last updated
11/16/2011
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