Organization
BERKELEY RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DILLON (ADMINISTRATOR)
(978) 682-1614
Entity
Organization
Contact information
Practice address
150 BERKELEY STREET, LAWRENCE, MA 01841-1224
(978) 682-1614
(978) 686-7170
Mailing address
150 BERKELEY STREET, LAWRENCE, MA 01841-1224
(978) 682-1614
(978) 686-7170
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0802
MA
314000000X
Skilled Nursing Facility
871
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0910678
—
MA
05
—
110025926A
—
MA
Enumeration date
10/03/2005
Last updated
09/14/2015
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