Mt Ida Rest Home, Inc.
NPI #1457481145 in Newtonville, Massachusetts
Provider Information
- NPI Number
- 1457481145
- Entity Type
- Organization
- Organization Name
- Mt Ida Rest Home, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 32 NEWTONVILLE AVE
- City
- Newtonville
- State
- Massachusetts
- ZIP Code
- 02458-1939
- Phone
- (508) 665-6050
Authorized Official
- Name
- DR. INDIRA DESAI, D, SC.
- Title
- PRESIDENT
- Phone
- (508) 665-6050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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