NPI 1649452467 · live from the CMS NPI Registry
30 Princeton Boulevard Operations LLC
Skilled Nursing Facility in Lowell, MA. National Provider Identifier 1649452467, active.
NPI record
| NPI | 1649452467 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 30 Princeton Blvd, Lowell, MA 01851 |
| Practice phone | 978-454-8086 |
| Mailing address | 101 E State St, Kennett Square, PA 19348 |
| Enumerated | December 4, 2007 |
| Last updated | October 6, 2025 |
| Authorized official | Michael Berg, Secretary |
| Other names | Willow Manor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 0701 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.