Organization
SENIOR RESIDENTIAL CARE/WORCESTER, INC.
Active
Other names
Wingate at Worcester
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMILYN M. LEVIN ESQ. (CFO)
(781) 707-9510
Entity
Organization
Contact information
Practice address
59 ACTON ST, WORCESTER, MA 01604-4829
(508) 791-3147
(508) 753-6267
Mailing address
63 KENDRICK ST, NEEDHAM, MA 02494-2708
(781) 707-9085
(781) 707-9285
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
0723
MA
314000000X
Skilled Nursing Facility
Primary
0723
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000026450
—
CT
05
—
00312074
—
NY
05
—
0068047
—
NJ
05
—
00880364
—
NY
05
—
00880373
—
NY
05
—
02998176
—
NY
05
—
110026673A
—
MA
05
—
110026673B
—
MA
05
—
30103097
—
NH
Enumeration date
05/09/2006
Last updated
10/21/2014
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