Organization
BELMONT MANOR NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA R RULLO (BUSINESS MANAGER)
(617) 489-1200
Entity
Organization
Contact information
Practice address
34 AGASSIZ AVE, BELMONT, MA 02478-5023
(617) 489-1200
(617) 489-0855
Mailing address
34 AGASSIZ AVE, BELMONT, MA 02478-5023
(617) 489-1200
(617) 489-0855
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0208
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926205
—
MA
01
—
2222541901
BLUE CROSS BLUE SHIELD
MA
01
—
906653
HARVARD PILGRIM
MA
Enumeration date
01/06/2006
Last updated
08/22/2020
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