Organization
NORTHEAST SENIOR HEALTH CORP
Active
Organization
NORTHEAST SENIOR HEALTH CORP
Active
Other names
Beverly Hospital Lifeline Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE GLENDON (LIFELINE PROGRAM MANAGER)
(978) 921-1697
Entity
Organization
Contact information
Practice address
800 CUMMINGS CTR, SUITE 266U, BEVERLY, MA 01915-6175
(978) 921-1697
(978) 921-1624
Mailing address
800 CUMMINGS CTR, SUITE 266U, BEVERLY, MA 01915-6175
(978) 921-1697
(978) 921-1624
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532316
—
MA
Enumeration date
02/21/2007
Last updated
08/22/2020
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