Organization
ESSEX PAVILION, LLC
Active
Other names
The Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E BENOIT (SENIOR ADMINISTRATOR)
(508) 775-6663
Entity
Organization
Contact information
Practice address
876 FALMOUTH RD, HYANNIS, MA 02601-2322
(508) 775-6663
(508) 778-9891
Mailing address
876 FALMOUTH RD, HYANNIS, MA 02601-2322
(508) 775-6663
(508) 778-9891
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0869
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0929204
—
MA
Enumeration date
11/29/2005
Last updated
08/22/2020
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