Burgoyne Rest Home INC
NPI #1104017292 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1104017292
- Entity Type
- Organization
- Organization Name
- Burgoyne Rest Home INC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Aug 5, 2007
- Last Updated
- Aug 5, 2007
Practice Location
- Address
- 53 HARTFORD ST
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02125-2829
- Phone
- (617) 445-1868
Authorized Official
- Name
- MR. WILLARD L L BASLER, ADM
- Title
- ADMINISTRATOR
- Phone
- (617) 445-1868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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