Organization
16 PLEASANT ST., INC.
Active
Other names
Bridgewater Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER H. THISSE (CONTROLLER)
(781) 762-0703
Entity
Organization
Contact information
Practice address
16 PLEASANT ST, BRIDGEWATER, MA 02324-2420
(508) 697-4616
(508) 698-7783
Mailing address
80 ACCESS RD, NORWOOD, MA 02062-5237
(781) 762-0703
(781) 762-2099
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0574
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0692860001
MEDICARE NSC
MA
05
—
0915556
—
MA
Enumeration date
12/12/2006
Last updated
12/16/2011
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