Organization
WILBRAHAM MEDICAL INVESTORS LP
Active
Other names
Life Care Center of Wilbraham
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S. CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
2399 BOSTON RD, WILBRAHAM, MA 01095-1185
(413) 596-3111
(413) 596-9072
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0930
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920177
—
MA
Enumeration date
03/28/2006
Last updated
06/12/2015
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