Organization
QUASIDE, INC
Active
Other names
QUABOAG ON THE COMMON
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOREN E SALVIETTI (ADMINISTRATOR)
(508) 867-7716
Entity
Organization
Contact information
Practice address
47 E MAIN STREET, WEST BROOKFIELD, MA 01585-2906
(508) 867-7716
(508) 867-2074
Mailing address
47 E MAIN STREET, WEST BROOKFIELD, MA 01585-2906
(508) 867-7716
(508) 867-2074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0144
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0921378
—
MA
Enumeration date
09/26/2005
Last updated
04/13/2011
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