Island Terrace, Inc.
NPI #1457346504 in Lakeville, Massachusetts
Provider Information
- NPI Number
- 1457346504
- Entity Type
- Organization
- Organization Name
- Island Terrace, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 14, 2005
- Last Updated
- Nov 15, 2007
Practice Location
- Address
- 57 LONG POINT RD
- City
- Lakeville
- State
- Massachusetts
- ZIP Code
- 02347-2124
- Phone
- (508) 947-0151
Authorized Official
- Name
- MR. BRENTON TOLLES, NHA
- Title
- ADMINISTRATOR
- Phone
- (508) 947-0151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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