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Organization

PLYMOUTH MA SNF, LLC

Active
Parent organization
ATHENA HEALTH CARE ASSOCIATES
Other names
Plymouth Rehab & Health Care Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
ATHENA HEALTH CARE ASSOCIATES
Authorized official
LAWRENCE G SANTILLI (MANAGING MEMBER)
(860) 751-3900
Entity
Organization

Contact information

Practice address
123 SOUTH ST, PLYMOUTH, MA 02360-2945
(508) 746-4343
(508) 746-8240
Mailing address
123 SOUTH ST, PLYMOUTH, MA 02360-2945
(508) 746-4343
(508) 746-8240

Taxonomy

Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
0734
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110094527D
MA
Enumeration date
07/10/2014
Last updated
02/16/2023
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