NPI 1508543331 · live from the CMS NPI Registry
Andover Manor Rehab And Nursing LLC
Skilled Nursing Facility in Andover, MA. National Provider Identifier 1508543331, active.
NPI record
| NPI | 1508543331 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 89 Morton St, Andover, MA 01810 |
| Practice phone | 978-475-0944 |
| Mailing address | 7b Medical Park Dr, Pomona, NY 10970 |
| Enumerated | July 3, 2023 |
| Last updated | August 15, 2023 |
| Authorized official | Benjamin Friedman, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.