Kenoza Manor Convalescent Home
NPI #1578554614 in Haverhill, Massachusetts
Provider Information
- NPI Number
- 1578554614
- Entity Type
- Organization
- Organization Name
- Kenoza Manor Convalescent Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 28, 2005
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 190 NORTH AVE
- City
- Haverhill
- State
- Massachusetts
- ZIP Code
- 01830-2238
- Phone
- (978) 372-7700
Authorized Official
- Name
- TIM BARRY
- Title
- ADMINISTRATOR
- Phone
- (978) 372-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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