Organization
LONG TERM CENTERS OF LEXINGTON INC
Active
Other names
Pine Knoll Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E WOODS (ADMINISTRATOR)
(781) 862-8151
Entity
Organization
Contact information
Practice address
30 WATERTOWN ST, LEXINGTON, MA 02421-6399
(781) 862-8151
(781) 862-3703
Mailing address
30 WATERTOWN ST, LEXINGTON, MA 02421-6399
(781) 862-8151
(781) 862-3703
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0205
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925799
—
MA
Enumeration date
01/06/2006
Last updated
01/06/2010
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