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Organization

LEGEND REHABILITATION AND NURSING CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN CORMIER (OWNER)
(978) 632-8776
Entity
Organization

Contact information

Practice address
59 EASTWOOD CIR, GARDNER, MA 01440-3901
(978) 632-8776
(978) 632-5048
Mailing address
59 EASTWOOD CIR, GARDNER, MA 01440-3901
(978) 632-8776
(978) 632-5048

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0721
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0928992
MA
01
2222519601
BLUE CROSS
MA
01
32655
FALLON COMMUNITY HEALTH
MA
01
805580
TUFTS HEALTH
MA
Enumeration date
09/13/2005
Last updated
10/28/2009
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