Organization
FAMILY REHABILIATION
Active
Other names
Hancock Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GOUGIAN (ADMINISTRATOR)
(617) 265-5220
Entity
Organization
Contact information
Practice address
133 HANCOCK STREET, DORCHESTER, MA 02125
(617) 265-1959
Mailing address
133 HANCOCK STREET, DORCHESTER, MA 02125
(617) 265-1959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0465
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920401
—
MA
Enumeration date
09/22/2006
Last updated
08/22/2020
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