Organization
CHARLWELL HEALTHCARE LLC
Active
Other names
Charlwell House
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M. COPPOLA (MANAGER)
(781) 762-7700
Entity
Organization
Contact information
Practice address
305 WALPOLE ST, NORWOOD, MA 02062-3021
(781) 762-7700
(781) 255-0387
Mailing address
305 WALPOLE ST, NORWOOD, MA 02062-3021
(781) 762-7700
(781) 255-0387
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0774
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0940526
—
MA
05
—
110026653B
—
MA
Enumeration date
05/30/2006
Last updated
10/30/2014
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