Organization
VIDELL HEALTHCARE CRANEVILLE, LLC
Active
Other names
Craneville Place Rehabilitation and Skilled Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J LAFORTE (MANAGER)
(253) 277-3197
Entity
Organization
Contact information
Practice address
265 MAIN ST, DALTON, MA 01226-1614
(413) 684-3212
(413) 684-2033
Mailing address
16400 SOUTHCENTER PKWY, SUITE 208, TUKWILA, WA 98188-3335
(253) 277-3197
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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