NPI 1639286750 · live from the CMS NPI Registry
Avery Manor Nursing, L.L.C.
Skilled Nursing Facility in Needham, MA. National Provider Identifier 1639286750, active.
NPI record
| NPI | 1639286750 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 100 West St, Needham, MA 02494 |
| Practice phone | 781-234-6300 |
| Mailing address | 680 S 4th St, Louisville, KY 40202 |
| Enumerated | August 24, 2006 |
| Last updated | April 20, 2018 |
| Authorized official | Marilyn Weaver, Assistant Secretary |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.