MEDICARE: FARMINGTON LTD PARTNERSHIP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility		MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1903845	OTHER	MA	MASS HEALTH PROVIDER #

General Provider Information

NPI Number	:	1053307728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMINGTON LTD PARTNERSHIP

Provider Business Mailing Address
First Line	:	400 COLUMBIA ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-1500
Country	:	US
Telephone Number	:	508-324-7960
Fax Number	:	508-324-7961

Provider Business Practice Location Address
First Line	:	400 COLUMBIA ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-1500
Country	:	US
Telephone Number	:	508-324-7960
Fax Number	:	508-324-7961

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MARLENE GIFFORD
Credential	:	LPN
Telephone Number	:	508-324-7960

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	08/22/2020

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Directions to “FARMINGTON LTD PARTNERSHIP ” Practice Location

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