Healthcare Provider Details
I. General information
NPI: 1497890685
Provider Name (Legal Business Name): ROMAR HEALTH CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
71 UNION ST
MILLIS MA
02054-1269
US
IV. Provider business mailing address
71 UNION ST
MILLIS MA
02054-1269
US
V. Phone/Fax
- Phone: 508-376-5083
- Fax: 508-376-8345
- Phone: 508-376-5083
- Fax: 508-376-8345
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MARSHA
TRAGER
Title or Position: PRESIDENT
Credential: B.A. H.S.
Phone: 508-376-5083