Healthcare Provider Details

I. General information

NPI: 1124016159
Provider Name (Legal Business Name): TUELL NURSING HOME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 FRANKLIN ST
MELROSE MA
02176-1821
US

IV. Provider business mailing address

PO BOX 2079
NEW BEDFORD MA
02741-2079
US

V. Phone/Fax

Practice location:
  • Phone: 508-990-1133
  • Fax: 508-990-2379
Mailing address:
  • Phone: 508-990-1133
  • Fax: 508-990-2379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BETH MANNY
Title or Position: BUSINESS OFFICE MGR.
Credential:
Phone: 508-990-1133