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NPI Code Detail

MEDICARE: NURSING & RETIREMENT CENTER OF ANDOVERS, INC.

MEDICARE: NURSING & RETIREMENT CENTER OF ANDOVERS, INC.
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
1314000000XSkilled Nursing Facility0922MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2551970OTHERAETNA-HMO
371-00027OTHERUNITED - EVERCARE

General Provider Information

NPI Number : 1083650089
Entity Type Code : Organization
Provider Name (Legal Business Name) : NURSING & RETIREMENT CENTER OF ANDOVERS, INC.
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-925-4436
Fax Number : 610-925-4351
Provider Business Practice Location Address
First Line : 1801 TURNPIKE ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-6322
Country : US
Telephone Number : 978-688-1212
Fax Number : 978-794-8265
Authorized Official
Title or Position : CORPORATE MANAGER
Name : JANE DROPESKEY
Credential :
Telephone Number : 610-925-4231
Provider Enumeration Date : 06/20/2006
Last Update Date : 06/21/2018

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Directions to “NURSING & RETIREMENT CENTER OF ANDOVERS, INC. ” Practice Location

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