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1976 STEVENS-BENNET HOME INC

Custodial Care Facility

Haverhill, Massachusetts

Provider NPI: 1568450815

Organization Information:
Organization Name:  1976 STEVENS-BENNET HOME INC


Practice Location:
337 MAIN ST  HAVERHILL, MA 01830 US
Tel: 978-374-8861  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility

Other Provider Identifiers:

IssuerNumberStateType
5500192MA05
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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