South Cove Manor, INC
NPI #1407859564 in Boston, Massachusetts
Provider Information
- NPI Number
- 1407859564
- Entity Type
- Organization
- Organization Name
- South Cove Manor, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 23, 2005
- Last Updated
- Apr 1, 2014
Practice Location
- Address
- 120 SHAWMUT AVENUE
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02118-2293
- Phone
- (617) 423-0590
Authorized Official
- Name
- MR. RICHARD WONG
- Title
- PRESIDENT / CEO
- Phone
- (617) 423-0590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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