Country Estates Nursing, L.l.c.

NPI #1437266558 in Agawam, Massachusetts

Provider Information

NPI Number
1437266558
Entity Type
Organization
Organization Name
Country Estates Nursing, L.l.c.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 24, 2006
Last Updated
Jan 17, 2018

Practice Location

Address
1200 SUFFIELD ST
City
Agawam
ZIP Code
01001-2933
Phone
(413) 789-2200

Authorized Official

Name
MS. MARILYN WEAVER
Title
ASSISTANT SECRETARY
Phone
(502) 596-7563

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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