Organization
VILLAGE REST HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD RANA (ADMINISTRATOR)
(978) 534-6270
Entity
Organization
Contact information
Practice address
446 MAIN ST, LEOMINSTER, MA 01453-2939
(978) 534-6270
Mailing address
446 MAIN ST, LEOMINSTER, MA 01453-2939
(978) 534-6270
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
1117
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5507642
PROVIDER NUMBER
MA
Enumeration date
03/21/2007
Last updated
08/22/2020
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