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Organization

HARBORLIGHTS NURSING, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7563
Entity
Organization

Contact information

Practice address
804 E 7TH ST, SOUTH BOSTON, MA 02127-4346
(617) 268-8968
(617) 268-4616
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028293
BMC HEALTH NET
MA
01
0022733
MARTINS POINT
MA
05
0928003
MA
01
124522555
SENIOR WHOLE HEALTH
MA
01
2222573701
BLUE CROSS BLUE SHIELD
MA
01
907778
EVERCARE
MA
Enumeration date
08/24/2006
Last updated
04/20/2018
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