Organization
ELLIS NURSING HOME, INC.
Active
Other names
Ellis Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN J SCZEPANSKI JR. (DIRECTOR OF OPERATIONS)
(508) 450-2482
Entity
Organization
Contact information
Practice address
135 ELLIS AVE, NORWOOD, MA 02062-3946
(781) 762-6880
(781) 769-7515
Mailing address
135 ELLIS AVE, NORWOOD, MA 02062-3946
(781) 762-6880
(781) 769-7515
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0793
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0908029
—
MA
01
—
2222521101
BLUE CROSS
MD
01
—
903249
HARVARD PILGRIM HEALTH PL
MA
Enumeration date
09/23/2005
Last updated
04/04/2017
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