Organization
LYNN MEDICAL INVESTORS LTD PTR
Active
Other names
Life Care Center of the North Shore
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
111 BIRCH ST, LYNN, MA 01902-1574
(781) 592-9667
(781) 599-6590
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0925
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919861
—
MA
01
—
71-00252
EVERCARE PLAN
MA
01
—
724665
TUFTS HEALTH PLANS
MA
01
—
HARBARD PILGRIM
905071
MA
Enumeration date
07/14/2005
Last updated
03/05/2009
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