Organization
WACHUSETT EXTENDED CARE FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA MAHONEY (ADMINISTRATOR)
(508) 829-1104
Entity
Organization
Contact information
Practice address
56 BOYDEN ROAD, HOLDEN, MA 01520-2570
(508) 829-1104
(508) 829-1221
Mailing address
54 BOYDEN ROAD, HOLDEN, MA 01520-2570
(508) 829-1110
(508) 829-1234
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0930172
MA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920304
—
MA
05
—
0930172
—
MA
Enumeration date
09/23/2005
Last updated
04/17/2013
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