Organization
ANNA MARIA REST HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENA KUZDZAL (BOOKKEEPER)
(508) 949-7455
Entity
Organization
Contact information
Practice address
1398 MAIN ST, WORCESTER, MA 01603-1524
(508) 756-1515
(508) 831-7938
Mailing address
1398 MAIN ST, WORCESTER, MA 01603-1524
(508) 756-1515
(508) 831-7938
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5500036
—
MA
Enumeration date
09/19/2005
Last updated
08/22/2020
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