Organization
PLYMOUTH MA SNF LLC
Active
Parent organization
ATHENA HEALTH CARE ASSOCIATES, INC
Other names
Plymouth Rehabilitation & Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENA HEALTH CARE ASSOCIATES, INC
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3900
Entity
Organization
Contact information
Practice address
123 SOUTH STREET, PLYMOUTH, MA 02360
(508) 746-4343
(508) 746-8240
Mailing address
123 SOUTH STREET, PLYMOUTH, MA 02360
(508) 879-4050
(508) 879-1534
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
0734
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094527A
—
MA
Enumeration date
06/30/2009
Last updated
02/16/2023
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