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NPI Code Detail

MEDICARE: HOLDEN NURSING HOME, INC

MEDICARE: HOLDEN NURSING HOME, 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
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)

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 : 1558876052
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLDEN NURSING HOME, INC
Provider Business Mailing Address
First Line : 52 BOYDEN RD STE 209
Second Line :
City : HOLDEN
State : MA
Zip : 01520-2592
Country : US
Telephone Number : 508-829-1110
Fax Number :
Provider Business Practice Location Address
First Line : 32 MAYO DR
Second Line :
City : HOLDEN
State : MA
Zip : 01520-1512
Country : US
Telephone Number : 508-829-1110
Fax Number :
Authorized Official
Title or Position : CFO
Name : ELIZABETH ELLEN COGAVIN
Credential :
Telephone Number : 508-829-1110
Provider Enumeration Date : 12/06/2017
Last Update Date : 12/06/2017

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