Organization
MARBLEHEAD HEALTHCARE SOLUTIONS LLC
Active
Other names
Devereux Skilled Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ QURESHI (PARTNER)
(617) 504-0294
Entity
Organization
Contact information
Practice address
39 LAFAYETTE ST, MARBLEHEAD, MA 01945-1939
(781) 631-6120
Mailing address
271 NAHANT RD, NAHANT, MA 01908-1341
(781) 581-0420
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225398
MEDICARE PTAN
—
Enumeration date
07/20/2022
Last updated
07/20/2022
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