Src West Springfield, Inc.

NPI #1336190867 in West Springfield, Massachusetts

Provider Information

NPI Number
1336190867
Entity Type
Organization
Organization Name
Src West Springfield, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 12, 2006
Last Updated
Oct 5, 2012

Practice Location

Address
42 PROSPECT AVE
ZIP Code
01089-4510
Phone
(413) 733-3151

Authorized Official

Name
MS. TAMILYN M. LEVIN, ESQ.
Title
CFO
Phone
(781) 707-9510

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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