Organization
SOMERSET RIDGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODIE L BORGES COTA/L (OCCUPATIONAL THERAPY ASSISTANT)
(508) 496-0065
Entity
Organization
Contact information
Practice address
455 BRAYTON AVE, SOMERSET, MA 02726-2642
(508) 619-2240
Mailing address
455 BRAYTON AVE, SOMERSET, MA 02726-2642
(508) 619-2240
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
3466
MA
314000000X
Skilled Nursing Facility
Primary
OTA00562
RI
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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