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NPI Code Detail

MEDICARE: SUDBURY PINES EXTENDED CARE FACILITY

MEDICARE: SUDBURY PINES EXTENDED CARE FACILITY
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
1315D00000XInpatient Hospice7IQUMA

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 : 1265551733
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUDBURY PINES EXTENDED CARE FACILITY
Provider Business Mailing Address
First Line : 642 BOSTON POST RD
Second Line :
City : SUDBURY
State : MA
Zip : 01776-3302
Country : US
Telephone Number : 978-443-9000
Fax Number : 978-443-9510
Provider Business Practice Location Address
First Line : 642 BOSTON POST RD
Second Line :
City : SUDBURY
State : MA
Zip : 01776-3302
Country : US
Telephone Number : 978-443-9000
Fax Number : 978-443-9510
Authorized Official
Title or Position : PRESIDENT, ADMINISTRATOR
Name : MS. ROBERTA C HENDERSON
Credential :
Telephone Number : 978-443-9000
Provider Enumeration Date : 03/28/2007
Last Update Date : 02/03/2016

Similar Medicare Providers

1215924147 — SUDBURY PINES EXTENDED CARE FACILITY
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 978-443-9000
Practice Fax: 978-443-9510
1811024664 — SUDBURY PINES EXTENDED CARE FACILITY
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 617-512-6625
Practice Fax: 978-443-9510
1205950532 — JANET L HADLEY COTA
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 978-443-9000
Practice Fax:
1689795452 — SANDRA LYNN GILLIS-ARDEN CCC-SLP
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 978-443-9000
Practice Fax:
1871614495 — DARCEY RICE PTA
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 978-443-9000
Practice Fax:
1114152030 — MRS. JULIE A BINKEWICZ MS, PT
Practice Location Address:
642 BOSTON POST RD
SUDBURY, MA
01776-3302
Practice Phone: 978-443-9000
Practice Fax:

Directions to “SUDBURY PINES EXTENDED CARE FACILITY ” Practice Location

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