Healthcare Provider Details

I. General information

NPI: 1497127948
Provider Name (Legal Business Name): BEDFORD VILLAGE CARE AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2015
Last Update Date: 11/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 POPE ST
NEW BEDFORD MA
02740-5425
US

IV. Provider business mailing address

9 POPE ST
NEW BEDFORD MA
02740-5425
US

V. Phone/Fax

Practice location:
  • Phone: 508-997-3358
  • Fax:
Mailing address:
  • Phone: 508-997-3358
  • Fax:

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: JOSEPH SCHWARTZ
Title or Position: OWNER
Credential:
Phone: 508-997-3358