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NPI Code Detail

MEDICARE: NORTHBRIDGE REHAB CENTER LLC

MEDICARE: NORTHBRIDGE REHAB CENTER 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 Facility

General Provider Information

NPI Number : 1295304186
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHBRIDGE REHAB CENTER LLC
Provider Business Mailing Address
First Line : 90 WEST ST
Second Line :
City : WILMINGTON
State : MA
Zip : 01887-3039
Country : US
Telephone Number : 781-255-0531
Fax Number :
Provider Business Practice Location Address
First Line : 85 BEAUMONT DR
Second Line :
City : NORTHBRIDGE
State : MA
Zip : 01534-1093
Country : US
Telephone Number : 781-255-0531
Fax Number :
Authorized Official
Title or Position : CFO
Name : CATERINA MINA LABELLA
Credential :
Telephone Number : 508-904-9139
Provider Enumeration Date : 06/23/2021
Last Update Date : 06/23/2021

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Directions to “NORTHBRIDGE REHAB CENTER LLC ” Practice Location

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