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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