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NPI Code Detail

MEDICARE: CH-CRAWFORD LLC

MEDICARE: CH-CRAWFORD 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 Facility0716MA

General Provider Information

NPI Number : 1639597016
Entity Type Code : Organization
Provider Name (Legal Business Name) : CH-CRAWFORD LLC
Provider Business Mailing Address
First Line : 273 OAK GROVE AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-2315
Country : US
Telephone Number : 508-679-4866
Fax Number : 508-673-3887
Provider Business Practice Location Address
First Line : 273 OAK GROVE AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-2315
Country : US
Telephone Number : 508-679-4866
Fax Number : 508-673-3887
Authorized Official
Title or Position : DIRECTOR
Name : ALAN SILVERMAN
Credential :
Telephone Number : 561-801-7600
Provider Enumeration Date : 04/02/2014
Last Update Date : 04/02/2014

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Directions to “CH-CRAWFORD LLC ” Practice Location

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