Organization
ROSCOMMON HEALTHCARE BROOK FARM INC.
Active
Other names
Roscommon On the Parkway
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P BURKE CPA (CFO/OWNER)
(617) 325-1688
Entity
Organization
Contact information
Practice address
1190 VFW PKWY, WEST ROXBURY, MA 02132-4208
(617) 325-1688
(617) 469-5673
Mailing address
1190 VFW PKWY, WEST ROXBURY, MA 02132-4208
(617) 325-1688
(617) 469-5673
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0929301
—
MA
Enumeration date
10/27/2006
Last updated
09/15/2014
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