Organization
BANE HANCOCK PARK, LLC
Active
Other names
Hancock Park Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C BANE (PRESIDENT)
(781) 474-2263
Entity
Organization
Contact information
Practice address
164 PARKINGWAY, QUINCY, MA 02169-5020
(617) 773-4222
(617) 773-1115
Mailing address
350 GRANITE ST STE 2203, BRAINTREE, MA 02184-4963
(781) 474-2263
(781) 878-9807
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119795A
—
MA
01
—
700122222571801
BLUE CROSS
MA
Enumeration date
04/07/2016
Last updated
01/26/2022
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