Organization
WESTBROOK HEIGHTS REST HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERMANA A RICHARD OWNER (ADMINISTRATOR)
(508) 867-2062
Entity
Organization
Contact information
Practice address
180 E.MAIN STREET, WEST BROOKFIELD, MA 01585-0580
(508) 867-2062
Mailing address
PO BOX 580, WEST BROOKFIELD, MA 01585-0580
(508) 867-2062
(508) 867-2925
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1248
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5509009
—
MA
Enumeration date
03/22/2007
Last updated
08/22/2020
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