MEDICARE: DIGHTON CARE AND REHABILITATION CENTER LLC

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

General Provider Information

NPI Number	:	1144692690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGHTON CARE AND REHABILITATION CENTER LLC

Provider Business Mailing Address
First Line	:	907 CENTER ST
Second Line	:
City	:	NORTH DIGHTON
State	:	MA
Zip	:	02764-1710
Country	:	US
Telephone Number	:	508-669-6741
Fax Number	:

Provider Business Practice Location Address
First Line	:	907 CENTER ST
Second Line	:
City	:	NORTH DIGHTON
State	:	MA
Zip	:	02764-1710
Country	:	US
Telephone Number	:	508-669-6741
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH SCHWARTZ
Credential	:
Telephone Number	:	508-669-6741

Provider Enumeration Date	:	10/23/2015
Last Update Date	:	11/11/2015

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