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NPI Code Detail

MEDICARE: UNIVERSITY COMMONS NURSING CARE CENTER PARTN

MEDICARE: UNIVERSITY COMMONS NURSING CARE CENTER PARTN
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

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 : 1881689644
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY COMMONS NURSING CARE CENTER PARTN
Provider Business Mailing Address
First Line : 328 SHREWSBURY STREET
Second Line :
City : WORCESTER
State : MA
Zip : 01604
Country : US
Telephone Number : 508-856-3092
Fax Number : 508-334-7040
Provider Business Practice Location Address
First Line : 378 PLANTATION STREET
Second Line :
City : WORCESTER
State : MA
Zip : 01604
Country : US
Telephone Number : 508-856-3092
Fax Number : 508-334-7040
Authorized Official
Title or Position : FINANCIAL REPORTING DIRECTOR
Name : MR. JEFFREY L. OLSON
Credential :
Telephone Number : 508-856-3092
Provider Enumeration Date : 09/16/2005
Last Update Date : 03/19/2009

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Directions to “UNIVERSITY COMMONS NURSING CARE CENTER PARTN ” Practice Location

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