Organization
ATLANTIC REST HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARY SOLIMINE RN (ADMINISTRATOR)
(781) 595-7110
Entity
Organization
Contact information
Practice address
60 ATLANTIC ST, LYNN, MA 01902-3115
(781) 598-0609
(781) 592-2846
Mailing address
60 ATLANTIC ST, LYNN, MA 01902-3115
(781) 598-0609
(781) 592-2846
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1329
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5505003
—
MA
Enumeration date
05/19/2008
Last updated
05/19/2008
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