Organization
BROCKTON MANOR, INC.
Active
Other names
Regent Park Manor and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY R THOMAS (SECRETARY)
(615) 905-5200
Entity
Organization
Contact information
Practice address
41 LIBBY ST, BROCKTON, MA 02302-2949
(508) 588-1450
(508) 583-2415
Mailing address
PO BOX 10, PARSONS, TN 38363-0010
(731) 847-6343
(731) 847-4200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0797
MA
Other
Enumeration date
05/20/2006
Last updated
07/22/2016
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