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NPI Code Detail

MEDICARE: EPOCH SENIOR HEALTHCARE OF WESTON, LLC

MEDICARE: EPOCH SENIOR HEALTHCARE OF WESTON, LLC
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 Facility0732MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164602843
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPOCH SENIOR HEALTHCARE OF WESTON, LLC
Provider Business Mailing Address
First Line : 51 SAWYER RD
Second Line : SUITE 500
City : WALTHAM
State : MA
Zip : 02453-3448
Country : US
Telephone Number : 781-810-1240
Fax Number :
Provider Business Practice Location Address
First Line : 75 NORUMBEGA RD
Second Line :
City : WESTON
State : MA
Zip : 02493-2431
Country : US
Telephone Number : 781-891-6100
Fax Number :
Authorized Official
Title or Position : CFO
Name : DEBORA PFAFF
Credential :
Telephone Number : 781-810-1240
Provider Enumeration Date : 11/09/2007
Last Update Date : 02/20/2008

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Directions to “EPOCH SENIOR HEALTHCARE OF WESTON, LLC ” Practice Location

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