Organization
LARCHWOOD LODGE NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN GALATIS (OWNER)
(781) 894-5264
Entity
Organization
Contact information
Practice address
325 BACON ST, 325 BACON STREET, WALTHAM, MA 02451-7519
(781) 894-5264
(781) 894-6011
Mailing address
96 HILLSIDE AVE, 96 HILLSIDE AVE, NEEDHAM, MA 02494-1710
(781) 894-5264
(781) 894-6011
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0214
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0921947
—
MA
Enumeration date
03/05/2007
Last updated
08/22/2020
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