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Organization

GENESIS HEALTH VENTURES OF MASSACHUSETTS, INC

Active
Other names
Heritage Hall North
Organization subpart
No

Provider details

NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization

Contact information

Practice address
55 COOPER ST, AGAWAM, MA 01001-2149
(413) 786-8000
(413) 789-4735
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0731
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000021318
BOSTON MEDICAL CENTER
05
0940216
MA
01
2048968
AETNA-HMO
01
2222576601
BC/BS
MA
01
2222576610
BC/BS - OUTPATIENT REHAB
MA
01
36005
HEALTH NEW ENGLAND
01
6337518
CIGNA(HEALTHSOURCE OF MA)
01
696496
TUFTS
01
71-01263
UNITED EVERCARE
01
907703
HARVARD PILGRAM
01
921396
CONNECTICARE
Enumeration date
06/02/2006
Last updated
06/21/2018
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