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Organization

ALLIANCE HEALTH OF BROCKTON, INC.

Active
Other names
Alliance Health at West Acres
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL BRIAN KEMP (TREASURER)
(774) 348-2001
Entity
Organization

Contact information

Practice address
804 PLEASANT ST, BROCKTON, MA 02301-3055
(508) 583-6000
(508) 580-2468
Mailing address
804 PLEASANT ST, BROCKTON, MA 02301-3055
(508) 583-6000
(508) 580-2468

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0925594
MA
Enumeration date
07/11/2005
Last updated
10/06/2020
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