Organization
SUDBURY PINES EXTENDED CARE FACILITY
Active
Other names
Sudbury Pines Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA C HENDERSON NHA (ADMINISTRATOR)
(978) 443-9000
Entity
Organization
Contact information
Practice address
642 BOSTON POST RD, SUDBURY, MA 01776-3302
(978) 443-9000
(978) 443-9510
Mailing address
642 BOSTON POST RD, SUDBURY, MA 01776-3302
(978) 443-9000
(978) 443-9510
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0382
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926248
—
MA
01
—
225531
OSCAR CERTIFICATION
MA
Enumeration date
10/05/2005
Last updated
03/28/2012
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