Organization
SOUTHBRIDGE MA SNF LLC
Active
Parent organization
ATHENA HEALTH CARE ASSOCIATES, INC
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
84 CHAPIN ST, SOUTHBRIDGE, MA 01550-2408
(508) 879-4050
(508) 879-1534
Mailing address
84 CHAPIN ST, SOUTHBRIDGE, MA 01550-2408
(508) 879-4050
(508) 879-1534
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0820
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094538A
—
MA
Enumeration date
10/12/2005
Last updated
02/16/2023
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