Organization
ROSCOMMON HEALTHCARE INC.
Active
Other names
Roscommon Extended Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P BURKE CPA (CFO)
(617) 325-1688
Entity
Organization
Contact information
Practice address
405 RIVER ST, MATTAPAN, MA 02126-2210
(617) 296-5585
(617) 296-4907
Mailing address
405 RIVER ST, MATTAPAN, MA 02126-2210
(617) 296-5585
(617) 296-4907
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927104
—
MA
Enumeration date
10/27/2006
Last updated
10/14/2011
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