Organization
BEAUMONT WHITNEY PLACE NORTHBOROUGH
Active
Other names
Beaumont Whitney Place Northborough, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY SACON (CFO)
(508) 898-3490
Entity
Organization
Contact information
Practice address
238 W MAIN ST, NORTHBOROUGH, MA 01532-1804
(508) 393-2368
(508) 393-3870
Mailing address
3 LYMAN ST, WESTBOROUGH, MA 01581-1442
(508) 898-3490
(508) 898-1805
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0041
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928178
—
MA
Enumeration date
10/04/2005
Last updated
03/12/2012
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