Organization Name: | JEWISH NURSING HOME OF WESTERN MASS., INC. |
NPI Number: | 1003910357 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS E. DYBICK (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 770 Converse St Longmeadow |
State: | MA US |
Postal Code: | 011061719 |
Phone Number: | 4135673949 |
Fax Number: | 4135670175 |
NPI Enumeration Date: | 09/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 0722 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |