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:
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:
110 MONASTERY AVE WEST SPRINGFIELD, MA 01089 US
Tel: 413-781-1282 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MA | |
X | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | MA |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MASS HEALTH PROVIDER # | 1905121 | MA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin