Ellis Nursing Home, INC.
Skilled Nursing Facility in Norwood, MA. Organization (NPI-2).
NPI number1790772192
StatusActive
Last updated in NPPESJan 17, 2018
Details
- NPI
- 1790772192
- Entity type
- Organization (NPI-2)
- Legal business name
- Ellis Nursing Home, INC.
- Organization subpart
- No
- Enumeration date
- Sep 30, 2005
- Last updated
- Jan 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
| 207QG0300X | Family Medicine, Geriatric Medicine | 0793 | MA | |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – |
Practice location
135 Ellis AveNorwood, MA 02062-3946
Phone 781-762-6880
Mailing address
135 Ellis AveNorwood, MA 02062-3946
Phone 781-762-6880
Authorized official
Danielle A Federico
Business Manger
7812378503
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