Organization
SENIOR RESIDENTIAL CARE/LOWELL, INC.
Active
Other names
Wingate at Lowell Rehab. & Skilled Nsg. Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMILYN M. LEVIN ESQ. (CFO)
(781) 707-9510
Entity
Organization
Contact information
Practice address
500 WENTWORTH AVE, LOWELL, MA 01852-4937
(978) 458-1271
(978) 453-4413
Mailing address
63 KENDRICK ST, NEEDHAM, MA 02494-2708
(781) 707-9575
(781) 707-9599
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0846
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026632A
—
MA
Enumeration date
05/09/2006
Last updated
10/05/2012
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