Organization
PIETY CORNER NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA PATTAVINA LNHA (ADMINISTRATOR)
(781) 894-5264
Entity
Organization
Contact information
Practice address
325 BACON ST, WALTHAM, MA 02451-7519
(781) 894-5264
(781) 894-6011
Mailing address
325 BACON ST, WALTHAM, MA 02451-7519
(781) 894-5264
(781) 894-6011
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3982
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927163
—
MA
Enumeration date
09/08/2006
Last updated
08/22/2020
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