Organization
BROOKHOUSE HOME FOR AGED WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN B SANTOS (REST HOME ADMINISTRATOR)
(978) 740-2493
Entity
Organization
Contact information
Practice address
180 DERBY ST, SALEM, MA 01970-5135
(978) 740-2493
(978) 744-1516
Mailing address
180 DERBY ST, SALEM, MA 01970-5135
(978) 740-2493
(978) 744-1516
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5501571
—
MA
Enumeration date
09/22/2005
Last updated
08/22/2020
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