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NPI 1033106356 · live from the CMS NPI Registry

Beaumont Wards Lane Trust

Skilled Nursing Facility in Northbridge, MA. National Provider Identifier 1033106356, active.

NPI record

NPI1033106356 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location85 Beaumont Dr, Northbridge, MA 01534
Practice phone508-234-9771
Mailing address3 Lyman St, Westborough, MA 01581
EnumeratedOctober 3, 2005
Last updatedMarch 12, 2012
Authorized officialGary Sacon, Cfo
Other namesBeaumont Nursing Home, INC

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000X0160 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.