Organization
BROAD REACH OF CHATHAM INC.
Active
Other names
Liberty Commons Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J BOGDANOVICH CNHA (PRESIDENT/CEO)
(508) 945-4611
Entity
Organization
Contact information
Practice address
390 ORLEANS RD, N CHATHAM, MA 02650-1154
(508) 945-4611
(508) 945-2245
Mailing address
390 ORLEANS RD, N CHATHAM, MA 02650-1154
(508) 945-4611
(508) 945-2245
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0922935
—
MA
Enumeration date
08/23/2005
Last updated
03/12/2013
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