Village Rest Home INC
NPI #1104044981 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1104044981
- Entity Type
- Organization
- Organization Name
- Village Rest Home INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 197 W CHESTNUT ST
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301-6753
- Phone
- (508) 583-0040
Authorized Official
- Name
- GUY MARCELLUS
- Title
- DIRECTOR
- Phone
- (508) 583-0040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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