Organization
GERIATRIC AUTHORITY OF HOLYOKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A EDWARD ROMAN JR. (CHIEF FINANCIAL OFFICER)
(413) 536-8110
Entity
Organization
Contact information
Practice address
45 LOWER WESTFIELD RD, HOLYOKE, MA 01040-2747
(413) 536-8110
(413) 539-6017
Mailing address
45 LOWER WESTFIELD RD, HOLYOKE, MA 01040-2747
(413) 536-8110
(413) 539-6017
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0052
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0904546
—
MA
05
—
1706624
—
MA
05
—
1900129
—
MA
Enumeration date
11/16/2005
Last updated
08/22/2020
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