MEDICARE: NORWELL KNOLL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013904218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORWELL KNOLL INC

Provider Business Mailing Address
First Line	:	329 WASHINGTON ST
Second Line	:
City	:	NORWELL
State	:	MA
Zip	:	02061-1794
Country	:	US
Telephone Number	:	781-659-4901
Fax Number	:	781-659-0065

Provider Business Practice Location Address
First Line	:	329 WASHINGTON ST
Second Line	:
City	:	NORWELL
State	:	MA
Zip	:	02061-1794
Country	:	US
Telephone Number	:	781-659-4901
Fax Number	:	781-659-0065

Authorized Official
Title or Position	:	PRES ADM
Name	:	BRIAN G GEANY
Credential	:
Telephone Number	:	781-659-4901

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	11/16/2011

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Directions to “NORWELL KNOLL INC ” Practice Location

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