Organization
RADIUS MILLBURY OPERATING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAREY LYNNE ANDRUS (AR BILLING MANAGER)
(508) 865-6106
Entity
Organization
Contact information
Practice address
29 MAIN ST, MILLBURY, MA 01527-2005
(508) 865-6106
(508) 865-7559
Mailing address
29 MAIN ST, MILLBURY, MA 01527-2005
(508) 865-6106
(508) 865-7559
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926710
—
MA
Enumeration date
10/04/2005
Last updated
08/22/2020
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