Videll Healthcare Craneville, LLC
Skilled Nursing Facility in Dalton, MA. Organization (NPI-2).
NPI number1699028282
StatusActive
Last updated in NPPESOct 19, 2012
Details
- NPI
- 1699028282
- Entity type
- Organization (NPI-2)
- Legal business name
- Videll Healthcare Craneville, LLC
- Organization subpart
- No
- Enumeration date
- Oct 19, 2012
- Last updated
- Oct 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Craneville Place Rehabilitation And Skilled Care Center (Doing Business As)
Practice location
265 Main StDalton, MA 01226-1614
Phone 413-684-3212 · Fax 413-684-2033
Mailing address
16400 Southcenter PkwySuite 208
Tukwila, WA 98188-3335
Phone 253-277-3197
Authorized official
Stephen J Laforte
Manager
2532773197
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