Revolution Charlwell LLC
Skilled Nursing Facility in Norwood, MA. Organization (NPI-2).
NPI number1013572080
StatusActive
Last updated in NPPESMay 6, 2019
Details
- NPI
- 1013572080
- Entity type
- Organization (NPI-2)
- Legal business name
- Revolution Charlwell LLC
- Organization subpart
- No
- Enumeration date
- May 6, 2019
- Last updated
- May 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
305 Walpole StNorwood, MA 02062-3021
Phone 781-762-7700
Mailing address
305 Walpole StNorwood, MA 02062-3021
Authorized official
Joseph Deutsch
Principal
7817627700
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