Healthcare Provider Details

I. General information

NPI: 1750378378
Provider Name (Legal Business Name): GUILFORD HEALTH MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 NEW LOMBARD RD
CHICOPEE MA
01020-4857
US

IV. Provider business mailing address

44 NEW LOMBARD RD
CHICOPEE MA
01020-4857
US

V. Phone/Fax

Practice location:
  • Phone: 413-592-7738
  • Fax: 413-592-7676
Mailing address:
  • Phone: 413-592-7738
  • Fax: 413-592-7676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0044
License Number StateMA

VIII. Authorized Official

Name: MS. KATE PARKER
Title or Position: PRESIDENT
Credential:
Phone: 413-592-7738