Organization
EDGAR P. BENJAMIN HEALTHCARE CENTER, INC
Active
Other names
Resthaven Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYRNA E. WYNN PRESIDENT & CEO (ADMINISTRATOR)
(617) 738-1500
Entity
Organization
Contact information
Practice address
120 FISHER AVENUE, BOSTON, MA 02120-3320
(617) 738-1500
Mailing address
120 FISHER AVE, BOSTON, MA 02120-3320
(617) 738-1500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0785
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0998613
—
MA
Enumeration date
05/02/2007
Last updated
02/17/2012
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