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THE GERMAN OLD FOLK'S HOME OF LAWRENCE MASS, INC

Intermediate Care Facility, Mental Illness

Lawrence, Massachusetts

Provider NPI: 1417084088

Organization Information:
Organization Name:  THE GERMAN OLD FOLK'S HOME OF LAWRENCE MASS, INC


Practice Location:
374 HOWARD ST  LAWRENCE, MA 01841 US
Tel: 978-682-5593  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
MA1110

Other Provider Identifiers:

IssuerNumberStateType
PROVIDER5500621MA01
EMP ID NO.72010830MA01
SOCIAL SECURITY NO.$$$$$$$$$MA01
STATE ID NO.023528MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS MA - Page 1



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