Organization
WETTERBERG NURSING HOMES, INC.
Active
Other names
Pond View Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD WETTERBERG (PRESIDENT)
(617) 277-2633
Entity
Organization
Contact information
Practice address
81 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4704
(617) 277-2633
(617) 277-1866
Mailing address
81 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4704
(617) 277-2633
(617) 277-1866
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0538
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919608
—
MA
Enumeration date
08/13/2006
Last updated
08/22/2020
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