Organization
JEWISH NURSING HOME OF WESTERN MASS., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS E. DYBICK (CHIEF FINANCIAL OFFICER)
(413) 567-3949
Entity
Organization
Contact information
Practice address
770 CONVERSE ST, LONGMEADOW, MA 01106-1719
(413) 567-3949
(413) 567-0175
Mailing address
770 CONVERSE ST, LONGMEADOW, MA 01106-1719
(413) 567-3949
(413) 567-0175
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920444
—
MA
Enumeration date
08/30/2006
Last updated
08/22/2020
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