Organization
LUTHERAN HOME OF WORCESTER INC
Active
Other names
Lutheran Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN M HAASE (EXECUTIVE DIRECTOR)
(508) 754-8877
Entity
Organization
Contact information
Practice address
26 HARVARD ST, WORCESTER, MA 01609-2833
(508) 754-8877
(508) 754-7141
Mailing address
26 HARVARD ST, LUTHERAN HEALTHCARE CENTER OF WORCESTER, WORCESTER, MA 01609-2833
(508) 754-8877
(508) 754-7141
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
0121
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0914436
—
MA
05
—
0940470
—
MA
Enumeration date
03/07/2006
Last updated
03/03/2008
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