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Organization

BANE BRIGHTON HOUSE, LLC

Active
Other names
Brighton House Rehabilitation and Nursing Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD C BANE (PRESIDENT)
(781) 474-2263
Entity
Organization

Contact information

Practice address
170 COREY RD, BRIGHTON, MA 02135-8244
(617) 731-0515
(617) 731-0517
Mailing address
350 GRANITE ST STE 2203, BRAINTREE, MA 02184-4963
(781) 474-2263
(781) 878-9807

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110117818A
MA
01
70012222205501
BLUE CROSS
MA
Enumeration date
04/07/2016
Last updated
01/26/2022
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