279 Cabot Street Operations LLC

NPI #1093184715 in Holyoke, Massachusetts

Provider Information

NPI Number
1093184715
Entity Type
Organization
Organization Name
279 Cabot Street Operations LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SUMMIT CARE LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 23, 2015
Last Updated
Sep 23, 2015

Practice Location

Address
279 CABOT ST
ZIP Code
01040-3139
Phone
(413) 536-3435

Authorized Official

Name
MICHAEL T BERG
Title
ASSISTANT SECRETARY
Phone
(505) 468-4742

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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