Organization
HASKELL LTD PARTNERSHIP
Active
Other names
Landmark at Longwood
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL DORNFELD RN (EXECUTIVE DIRECTOR)
(617) 975-0110
Entity
Organization
Contact information
Practice address
63 PARKER HILL AVE, ROXBURY CROSSING, MA 02120-3218
(617) 975-0110
(917) 975-0140
Mailing address
63 PARKER HILL AVE, ROXBURY CROSSING, MA 02120-3218
(617) 975-0110
(917) 975-0140
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1905350
MASS HEALTH PROVIDER #
MA
Enumeration date
09/27/2005
Last updated
08/22/2020
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