Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CarePLYMOUTH MA SNF LLC
Intermediate Care Facility, Mentally Retarded
Plymouth, Massachusetts
Provider NPI: 1477781359
Organization Information:Organization Name: PLYMOUTH MA SNF LLC
Practice Location:
123 SOUTH STREET PLYMOUTH, MA 02360 US
Tel: 508-746-4343 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:
123 SOUTH STREET PLYMOUTH, MA 02360 US
Tel: 508-746-4343 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | MA | 0734 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 110094527B | MA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin