Organization
EASTERN ORTHODOX MANAGEMENT CORPORATION
Active
Other names
Holy Trinity Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
IOANNIS MIRONIDIS (IT DIRECTOR)
(508) 852-1000
Entity
Organization
Contact information
Practice address
300 BARBER AVE, WORCESTER, MA 01606-2476
(508) 852-1000
(508) 854-1622
Mailing address
300 BARBER AVE, WORCESTER, MA 01606-2476
(508) 852-1000
(508) 854-1622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0970
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0921858
—
MA
01
—
2222564801
BLUE CROSS
MA
01
—
70012222564801
MEDEX
MA
01
—
7100305
EVERCARE
MA
01
—
802933
TUFTS
MA
01
—
904691
PILGRIM
MA
Enumeration date
09/13/2005
Last updated
07/03/2021
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