Organization
19 VARNUM STREET OPERATING COMPANY, LLC
Active
Other names
Lowell Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A. ALBERTO LUGO (EXECUTIVE VP & GENERAL COUNSEL)
(201) 242-4000
Entity
Organization
Contact information
Practice address
19 VARNUM STREET, LOWELL, MA 01850
(978) 454-5644
(978) 459-7367
Mailing address
19 VARNUM STREET, LOWELL, MA 01850
(978) 454-5644
(978) 459-7367
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926892
—
DE
Enumeration date
07/14/2005
Last updated
08/13/2015
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