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Organization

LANGE REST HOMES

Active
Other names
Winter Hill Rest Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM JOHN LANGE ADMINISTRATOR (ADMINISTRATOR)
(508) 755-6404
Entity
Organization

Contact information

Practice address
24 CHESTER ST, WORCESTER, MA 01605-3121
(508) 755-6404
(508) 753-8770
Mailing address
24 CHESTER ST, WORCESTER, MA 01605-3121
(508) 755-6404
(508) 753-8770

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
841
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5507294
MA
Enumeration date
09/29/2005
Last updated
08/22/2020
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