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Organization

JAMES MANOR REST HOME

Active
Other names
Jenmar Corporation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD GERRY DESMARAIS (ADM OWNER)
(978) 343-7400
Entity
Organization

Contact information

Practice address
222 SOUTH ST, FITCHBURG, MA 01420
(978) 343-7400
(978) 343-7775
Mailing address
PO BOX 2185, 222 SOUTH ST, FITCHBURG, MA 01420
(978) 343-7400
(978) 343-7775

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
1350RESTHOME
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55508592
MASS PROVIDER
MA
Enumeration date
03/05/2007
Last updated
08/22/2020
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