Organization
DARTMOUTH MANOR HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA ANTONELLI (OWNER)
(508) 399-8487
Entity
Organization
Contact information
Practice address
70 STATE RD, N DARTMOUTH, MA 02747-2920
(508) 993-9255
(508) 993-9260
Mailing address
66 TURNSTONE LN, SEEKONK, MA 02771-2712
(508) 254-3078
(508) 399-7191
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
836
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5507308
—
MA
Enumeration date
09/16/2005
Last updated
08/22/2020
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