Lange Rest Homes

NPI #1285621854 in Worcester, Massachusetts

Provider Information

NPI Number
1285621854
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
453 CAMBRIDGE ST
ZIP Code
01610-2601
Phone
(508) 255-6404

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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