Organization
SALEM COMMUNITY CORPORATION
Active
Other names
KNOLLWOOD NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE F WILSON (CHIEF OPERATING OFFICER)
(508) 852-2670
Entity
Organization
Contact information
Practice address
87 BRIARWOOD CIR, WORCESTER, MA 01606-1225
(508) 853-6910
(508) 856-0112
Mailing address
87 BRIARWOOD CIR, WORCESTER, MA 01606-1225
(508) 853-6910
(508) 856-0112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0119
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920096
—
MA
Enumeration date
01/10/2007
Last updated
08/22/2020
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