Organization
WATERVIEW LODGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIRA DESAI D.SC.,RD,LDN,RN,NHA (PRESIDENT)
(508) 879-6420
Entity
Organization
Contact information
Practice address
250 W UNION ST, ASHLAND, MA 01721-1420
(508) 879-6420
Mailing address
32 NEWTONVILLE AVE, P.O. BOX 788, NEWTON, MA 02458-1939
(508) 879-6420
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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