Healthcare Provider Details

I. General information

NPI: 1962490995
Provider Name (Legal Business Name): HIGHLAND MANOR NURSING HOME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

761 HIGHLAND AVE
FALL RIVER MA
02720-3722
US

IV. Provider business mailing address

761 HIGHLAND AVE
FALL RIVER MA
02720-3722
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-1411
  • Fax:
Mailing address:
  • Phone: 508-679-1411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: JESSICA CHARETTE
Title or Position: OFFICE MANAGER
Credential:
Phone: 508-990-1133