Healthcare Provider Details

I. General information

NPI: 1053307728
Provider Name (Legal Business Name): FARMINGTON LTD PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 COLUMBIA ST
FALL RIVER MA
02721-1500
US

IV. Provider business mailing address

400 COLUMBIA ST
FALL RIVER MA
02721-1500
US

V. Phone/Fax

Practice location:
  • Phone: 508-324-7960
  • Fax: 508-324-7961
Mailing address:
  • Phone: 508-324-7960
  • Fax: 508-324-7961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateMA

VIII. Authorized Official

Name: MARLENE GIFFORD
Title or Position: EXECUTIVE DIRECTOR
Credential: LPN
Phone: 508-324-7960