MEDICARE: BEDANCA, 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		MA

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	:	1770579070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEDANCA, INC

Provider Business Mailing Address
First Line	:	81 BIRCH ST
Second Line	:
City	:	ABINGTON
State	:	MA
Zip	:	02351-1792
Country	:	US
Telephone Number	:	781-878-4660
Fax Number	:	781-878-3524

Provider Business Practice Location Address
First Line	:	81 BIRCH ST
Second Line	:
City	:	ABINGTON
State	:	MA
Zip	:	02351-1792
Country	:	US
Telephone Number	:	781-878-4660
Fax Number	:	781-878-3524

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. NORMAND E MESSIER
Credential	:
Telephone Number	:	781-878-4660

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	08/22/2020

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Directions to “BEDANCA, INC ” Practice Location

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