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NPI Code Detail

MEDICARE: GOLDEN POND RESIDENT CARE CORP

MEDICARE: GOLDEN POND RESIDENT CARE CORP
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
1310400000XAssisted Living FacilityMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508996588
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN POND RESIDENT CARE CORP
Provider Business Mailing Address
First Line : 50 W MAIN ST
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-1672
Country : US
Telephone Number : 508-435-1250
Fax Number : 508-435-2213
Provider Business Practice Location Address
First Line : 50 W MAIN ST
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-1672
Country : US
Telephone Number : 508-435-1250
Fax Number : 508-435-2213
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. WILLIAM MARR
Credential :
Telephone Number : 508-435-1250
Provider Enumeration Date : 03/07/2007
Last Update Date : 08/22/2020

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Directions to “GOLDEN POND RESIDENT CARE CORP ” Practice Location

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