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JAMES MANOR REST HOME

Custodial Care Facility

Fitchburg, Massachusetts

Provider NPI: 1437288701

Organization Information:
Organization Name:  JAMES MANOR REST HOME


Practice Location:
222 SOUTH ST  FITCHBURG, MA 01420 US
Tel: 978-343-7400  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
MA1350RESTHOME

Other Provider Identifiers:

IssuerNumberStateType
MASS PROVIDER55508592MA01
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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