Organization
KIRKWOOD HOUSE INC
Active
Other names
Kirkwood Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETHAN WELLS (ADMINISTRATOR)
(781) 245-4129
Entity
Organization
Contact information
Practice address
202 MAIN ST, WAKEFIELD, MA 01880-1823
(781) 245-4129
(781) 245-7190
Mailing address
202 MAIN ST, WAKEFIELD, MA 01880-1823
(781) 245-4129
(781) 245-7190
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0318
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0999091
—
MA
01
—
20464
VACCINE IMMUNIZATION
MA
Enumeration date
11/10/2005
Last updated
08/22/2020
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