Organization
SEACOAST NURSING AND REHABILITATION CENTER, INC.
Active
Other names
Seacoast Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN WEAVER (ASSISTANT SECRETARY)
(502) 596-7563
Entity
Organization
Contact information
Practice address
292 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-0300
(978) 281-6774
Mailing address
292 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-0300
(978) 281-6774
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0946
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920851
—
MA
01
—
1119608
UNITED HEALTHCARE
MA
01
—
2222556701
BLUE CROSS BLUE SHIELD
MA
01
—
5933052
AETNA
MA
01
—
728244
TUFTS
MA
Enumeration date
11/01/2006
Last updated
05/13/2015
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