Organization
312 MILLBURY AVENUE OPERATING COMPANY, LLC
Active
Other names
Millbury Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY VAZQUEZ (VP, SPECIAL PROJECTS)
(978) 930-6051
Entity
Organization
Contact information
Practice address
312 MILLBURY AVENUE, MILLBURY, MA 01529
(508) 793-0088
(508) 793-1671
Mailing address
312 MILLBURY AVENUE, MILLBURY, MA 01529
(508) 793-0088
(508) 793-1671
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926817
—
MA
Enumeration date
07/14/2005
Last updated
12/15/2023
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