NPI 1124895297 · live from the CMS NPI Registry
Eric Amankona
Skilled Nursing Facility, Nursing Care, Pediatric in Worcester, MA. National Provider Identifier 1124895297, active.
NPI record
| NPI | 1124895297 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility, Nursing Care, Pediatric 3140N1450X |
| Practice location | 67 Ledgecrest Dr, Worcester, MA 01603 |
| Practice phone | 508-847-5620 |
| Enumerated | December 7, 2023 |
| Last updated | December 7, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility, Nursing Care, Pediatric primary | 3140N1450X | LN69615 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.