Healthcare Provider Details
I. General information
NPI: 1760783575
Provider Name (Legal Business Name): METRO WEST REHAB CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2010
Last Update Date: 05/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 FLANDERS RD
WESTBOROUGH MA
01581-1017
US
IV. Provider business mailing address
25 RAILROAD SQ
HAVERHILL MA
01832-5721
US
V. Phone/Fax
- Phone: 508-871-2000
- Fax: 508-871-2048
- Phone: 978-556-5900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALFRED
J
ARCIDI
Title or Position: PRESIDENT
Credential:
Phone: 978-556-5858