Organization
SOUTHEAST MA SNF LLC
Active
Parent organization
ATHENA HEALTH CARE SYSTEMS MA LLC
Other names
Southeast Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENA HEALTH CARE SYSTEMS MA LLC
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3900
Entity
Organization
Contact information
Practice address
184 LINCOLN ST, EASTON, MA 02356-1799
(508) 238-7053
(508) 238-7049
Mailing address
135 SOUTH RD, FARMINGTON, CT 06032-2556
(860) 751-3900
(860) 751-3905
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087934A
—
MA
Enumeration date
11/02/2010
Last updated
02/17/2023
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