NPI 1902817299 · live from the CMS NPI Registry
184 Main LLC
Skilled Nursing Facility in Fairhaven, MA. National Provider Identifier 1902817299, active.
NPI record
| NPI | 1902817299 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 184 Main Street, Fairhaven, MA 02719 |
| Practice phone | 508-997-3193 |
| Enumerated | August 11, 2006 |
| Last updated | October 28, 2013 |
| Authorized official | Paula Reid, Controller |
| Other names | Royal Fairhaven Nursing & Rehab |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility | 314000000X | 0646 (MA) |
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.