Organization
JAVER, LLC
Active
Other names
PHILLIPS MANOR NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JALIL NASSIRZADEH (ADMINISTRATOR/OWNER)
(781) 592-8000
Entity
Organization
Contact information
Practice address
28 LINWOOD RD, LYNN, MA 01905-1638
(781) 592-8000
(781) 598-1556
Mailing address
28 LINWOOD RD, LYNN, MA 01905-1638
(781) 592-8000
(781) 598-1556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0332
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925403
—
MA
Enumeration date
09/27/2005
Last updated
08/22/2020
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