Organization
KIMWELL HEALTHCARE LLC
Active
Other names
Kimwell
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G. FREDETTE (MANAGER)
(508) 679-0106
Entity
Organization
Contact information
Practice address
495 NEW BOSTON RD, FALL RIVER, MA 02720-5835
(508) 679-0106
(508) 674-1570
Mailing address
495 NEW BOSTON RD, FALL RIVER, MA 02720-5835
(508) 679-0106
(508) 674-1570
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0720
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0940542
—
MA
05
—
110026658B
—
MA
Enumeration date
06/01/2006
Last updated
10/30/2014
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