Organization
1976 STEVENS-BENNET HOME INC
Active
Other names
1856 Ladies Charitable Association of Havernill
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA J KELLEHER (ADMINISTRATOR)
(978) 374-8861
Entity
Organization
Contact information
Practice address
337 MAIN ST, HAVERHILL, MA 01830-4054
(978) 374-8861
(978) 374-2109
Mailing address
337 MAIN ST, HAVERHILL, MA 01830-4054
(978) 374-8861
(978) 374-2109
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5500192
—
MA
Enumeration date
10/11/2005
Last updated
08/22/2020
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