Healthcare Provider Details

I. General information

NPI: 1265862569
Provider Name (Legal Business Name): ROYAL NORWELL NURSING & REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2013
Last Update Date: 11/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 WASHINGTON ST
NORWELL MA
02061-1737
US

IV. Provider business mailing address

1080 WASHINGTON ST
HANOVER MA
02339-1600
US

V. Phone/Fax

Practice location:
  • Phone: 781-659-4901
  • Fax:
Mailing address:
  • Phone: 781-826-2393
  • 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: PAULA REID
Title or Position: CONTROLLER
Credential:
Phone: 508-743-8159