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NPI Code Detail

MEDICARE: COLONIAL NURSING HOME OF WEYMOUTH, INC

MEDICARE: COLONIAL NURSING HOME OF WEYMOUTH, 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
1314000000XSkilled Nursing Facility0442MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1803042OTHERMATUFTS HEALTH - HMO
2902179OTHERMAHARVARD PILGRIM
30020168OTHERMANEIGHBORHOOD HEALTH - HMO
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
52222505901OTHERMABLUE CROSS - HMO

General Provider Information

NPI Number : 1881668382
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLONIAL NURSING HOME OF WEYMOUTH, INC
Provider Business Mailing Address
First Line : 52 ACCORD PARK DR
Second Line :
City : NORWELL
State : MA
Zip : 02061-1628
Country : US
Telephone Number : 781-878-6700
Fax Number : 781-878-9807
Provider Business Practice Location Address
First Line : 128 BROAD ST
Second Line :
City : WEYMOUTH
State : MA
Zip : 02188-2336
Country : US
Telephone Number : 781-337-3121
Fax Number : 781-337-7510
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. MICHAEL WELCH
Credential :
Telephone Number : 781-337-3121
Provider Enumeration Date : 02/14/2006
Last Update Date : 10/26/2009

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Directions to “COLONIAL NURSING HOME OF WEYMOUTH, INC ” Practice Location

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