Organization
SENIOR RESIDENTIAL CARE/MIDDLEBORO, INC.
Active
Other names
The Neuro-Rehabilitation Center at Middleboro
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMILYN M. LEVIN ESQ. (CFO)
(781) 707-9510
Entity
Organization
Contact information
Practice address
23 ISAAC ST, MIDDLEBORO, MA 02346-2080
(508) 947-9295
(508) 947-7974
Mailing address
63 KENDRICK ST, NEEDHAM, MA 02494-2708
(781) 707-9085
(781) 707-9285
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0817
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00528212
—
NY
05
—
00881723
—
NY
05
—
00881732
—
NY
05
—
0929123
—
MA
05
—
0930041
—
MA
05
—
0941841
—
MA
05
—
110026674A
—
MA
05
—
110026674B
—
MA
05
—
110026674C
—
MA
05
—
110026674D
—
MA
05
—
192640000
—
ME
Enumeration date
05/10/2006
Last updated
10/05/2012
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