Organization
WEST REVERE HEALTH CENTER, LLC
Active
Other names
West Revere Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELI FISCH (DIRECTOR OF VENDOR RELATIONS)
(732) 710-4431
Entity
Organization
Contact information
Practice address
133 SALEM ST, REVERE, MA 02151-1114
(781) 322-4861
Mailing address
2363 LAKEWOOD RD, FLOOR 2, TOMS RIVER, NJ 08755-1524
(732) 710-4431
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0864
MA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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