Src East Longmeadow, Inc.
NPI #1750331286 in East Longmeadow, Massachusetts
Provider Information
- NPI Number
- 1750331286
- Entity Type
- Organization
- Organization Name
- Src East Longmeadow, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 12, 2006
- Last Updated
- Oct 5, 2012
Practice Location
- Address
- 32 CHESTNUT ST
- City
- East Longmeadow
- State
- Massachusetts
- ZIP Code
- 01028-2803
- Phone
- (413) 525-1893
Authorized Official
- Name
- MS. TAMILYN M. LEVIN, ESQ.
- Title
- CFO
- Phone
- (781) 707-9510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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