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Organization

57 OLD ROAD TO NINE ACRE CORNER OPERATING COMPANY, LLC

Active
Other names
Concord Healthcare Center
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY VAZQUEZ (VP, SPECIAL PROJECTS)
(978) 930-6051
Entity
Organization

Contact information

Practice address
57 OLD ROAD TO 9 ACRE CORNER, CONCORD, MA 01742
(978) 371-3400
(978) 371-3406
Mailing address
57 OLD ROAD TO 9 ACRE CORNER, CONCORD, MA 01742
(978) 371-3400
(978) 371-3406

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0983
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0926787
MD
Enumeration date
07/14/2005
Last updated
12/15/2023
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