NPI 1639856461 · live from the CMS NPI Registry
Agawam South Rehab And Nursing LLC
Skilled Nursing Facility in Agawam, MA. National Provider Identifier 1639856461, active.
NPI record
| NPI | 1639856461 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 65 Cooper St, Agawam, MA 01001 |
| Practice phone | 413-786-8000 |
| 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.