Organization
ADVENTCARE INC
Active
Other names
Fairhaven Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA R. MCDONNELL (CORPORATE BUSINESS MANAGER)
(978) 420-1500
Entity
Organization
Contact information
Practice address
476 VARNUM AVE, LOWELL, MA 01854-2122
(978) 458-3388
Mailing address
35 AVCO RD, HAVERHILL, MA 01835-6936
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0940381
—
MA
Enumeration date
11/20/2007
Last updated
11/20/2007
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