ATLANTIC REST HOME, INC
Adult Care Home
Lynn, Massachusetts
Provider NPI: 1295992139
Organization Information:Organization Name: ATLANTIC REST HOME, INC
Practice Location:
60 ATLANTIC ST LYNN, MA 01902 US
Tel: 781-598-0609 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
60 ATLANTIC ST LYNN, MA 01902 US
Tel: 781-598-0609 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | MA | 1329 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
5505003 | MA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin