Organization
ROSCOMMON HEALTHCARE WEST ROXBURY INC.
Active
Other names
Roscommon West Roxbury
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P BURKE CPA (CFO/OWNER)
(617) 325-1688
Entity
Organization
Contact information
Practice address
5060 WASHINGTON ST, WEST ROXBURY, MA 02132-4738
(617) 323-5440
(617) 469-5543
Mailing address
5060 WASHINGTON ST, WEST ROXBURY, MA 02132-4738
(617) 323-5440
(617) 469-5543
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927155
—
MA
Enumeration date
10/27/2006
Last updated
11/01/2011
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