NPI 1710048525 · live from the CMS NPI Registry
519 Main St., INC.
Skilled Nursing Facility in Medfield, MA. National Provider Identifier 1710048525, active.
NPI record
| NPI | 1710048525 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 519 Main St, Medfield, MA 02052 |
| Practice phone | 508-359-6050 |
| Mailing address | 80 Access Rd, Norwood, MA 02062 |
| Enumerated | December 13, 2006 |
| Last updated | December 16, 2011 |
| Authorized official | Peter Thisse, Controller |
| Other names | Thomas Upham House |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 0400 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.