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NPI Code Detail

MEDICARE: CORCORAN HOUSE

MEDICARE: CORCORAN HOUSE
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
1310400000XAssisted Living Facility1903756MA

General Provider Information

NPI Number : 1801881768
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORCORAN HOUSE
Provider Business Mailing Address
First Line : 40 WALNUT ST
Second Line :
City : CLINTON
State : MA
Zip : 01510-2995
Country : US
Telephone Number : 978-365-3600
Fax Number : 978-365-9800
Provider Business Practice Location Address
First Line : 40 WALNUT ST
Second Line :
City : CLINTON
State : MA
Zip : 01510-2995
Country : US
Telephone Number : 978-365-3600
Fax Number : 978-365-9800
Authorized Official
Title or Position : EXCUTIVE DIRECTOR
Name : MRS. MARY A LUSCHEN
Credential :
Telephone Number : 978-365-3600
Provider Enumeration Date : 09/16/2005
Last Update Date : 08/22/2020

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1477532224 — SCOTT H. GONZALEZ M.D.
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Directions to “CORCORAN HOUSE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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