Organization
CFM BUCKLEY NORTH 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 RICHMOND (PRESIDENT)
(615) 459-6094
Entity
Organization
Contact information
Practice address
95 LAUREL ST, GREENFIELD, MA 01301-3106
(413) 774-3143
Mailing address
95 LAUREL ST, GREENFIELD, MA 01301-3106
(413) 774-3143
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0866
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928038
—
MA
01
—
2222533501
BLUE CROSS
MA
01
—
91157509
WAUSAU BENEFITS
—
01
—
982211
TUTTS HEALTH PLAN
—
Enumeration date
06/17/2006
Last updated
04/20/2008
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