Healthcare Provider Details

I. General information

NPI: 1750371688
Provider Name (Legal Business Name): ELIZABETH CATHERINE REST HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2005
Last Update Date: 07/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 FRONT ST
WEYMOUTH MA
02188-1604
US

IV. Provider business mailing address

27 FRONT ST
WEYMOUTH MA
02188-1604
US

V. Phone/Fax

Practice location:
  • Phone: 781-335-2596
  • Fax: 781-335-0151
Mailing address:
  • Phone: 781-335-2596
  • Fax: 781-335-0151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. LEONARD F. ARABIA
Title or Position: PRESIDENT
Credential:
Phone: 781-337-0772