Organization
CFM BUCKLEY-SOUTH LLC
Active
Parent organization
ELDERTRUST OF FLORIDA INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELDERTRUST OF FLORIDA INC
Authorized official
WILLIAM T RICHMOND (PRESIDENT)
(615) 459-6094
Entity
Organization
Contact information
Practice address
282 CABOT ST, HOLYOKE, MA 01040-3141
(413) 538-7470
Mailing address
282 CABOT ST, HOLYOKE, MA 01040-3141
(413) 538-7470
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0811
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928046
—
MA
Enumeration date
05/22/2006
Last updated
01/30/2008
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