Organization
WOBURN NURSING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DRISCOLL (CHIEF OPERATING OFFICER)
(781) 994-2114
Entity
Organization
Contact information
Practice address
18 FRANCES ST, WOBURN, MA 01801-3006
(781) 933-8175
(781) 729-3817
Mailing address
18 FRANCES ST, WOBURN, MA 01801-3006
(781) 933-8175
(781) 729-3817
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4213
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906905
—
MA
01
—
2222539401
BLUE CROSS BLUE SHIELD
MA
01
—
552468
AETNA/ US HEALTHCARE
MA
01
—
803059
TUFTS/SECURE HORIZON
MA
01
—
903183
HARVARD PILGRIM HEALTH
MA
Enumeration date
06/10/2005
Last updated
08/22/2020
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