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110 MONASTERY ASSOCIATES LP

Assisted Living Facility

West Springfield, Massachusetts

Provider NPI: 1710973474

Organization Information:
Organization Name:  110 MONASTERY ASSOCIATES LP


Practice Location:
110 MONASTERY AVE  WEST SPRINGFIELD, MA 01089 US
Tel: 413-781-1282  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X310400000XNursing & Custodial Care Facilities
Assisted Living Facility
MA
X311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
MA

Other Provider Identifiers:

IssuerNumberStateType
MASS HEALTH PROVIDER #1905121MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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