Organization
UNIVERSITY COMMONS NURSING CARE CENTER PARTN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L. OLSON (FINANCIAL REPORTING DIRECTOR)
(508) 856-3092
Entity
Organization
Contact information
Practice address
378 PLANTATION STREET, WORCESTER, MA 01604
(508) 856-3092
(508) 334-7040
Mailing address
328 SHREWSBURY STREET, WORCESTER, MA 01604
(508) 856-3092
(508) 334-7040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0921149
—
MA
Enumeration date
09/16/2005
Last updated
03/19/2009
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