Lange Rest Homes
NPI #1093702664 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1093702664
- Entity Type
- Organization
- Organization Name
- Lange Rest Homes
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 572 BURNCOAT ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01605
- Phone
- (508) 755-6404
Authorized Official
- Name
- MR. WILLIAM JOHN LANGE, ADMINISTRATOR
- Title
- ADMINISTRATOR
- Phone
- (508) 755-6404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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