30 Princeton Boulevard Operations LLC
Skilled Nursing Facility in Lowell, MA. Organization (NPI-2).
NPI number1649452467
StatusActive
Last updated in NPPESOct 6, 2025
Details
- NPI
- 1649452467
- Entity type
- Organization (NPI-2)
- Legal business name
- 30 Princeton Boulevard Operations LLC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2007
- Certification date
- Oct 6, 2025
- Last updated
- Oct 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 0701 | MA | Yes |
Other names
- Willow Manor (Doing Business As)
Practice location
30 Princeton BlvdLowell, MA 01851-2405
Phone 978-454-8086 · Fax 978-453-9772
Mailing address
101 E State StKennett Square, PA 19348-3109
Phone 610-925-4436 · Fax 610-925-4351
Authorized official
Michael Berg
Secretary
6104446350
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