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Beaumont Wards Lane Trust

Beaumont Wards Lane Trust is a health care provider in Westborough, MA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 85 Beaumont Dr, Northbridge, MA 01534-1093, US
Practice Location Phone508-234-9771
Practice Location Fax508-234-2635
Legal Business NameBEAUMONT WARDS LANE TRUST
Other Organization NameBEAUMONT NURSING HOME, INC
Other Organization Name TypeDoing Business As Name
NPI ?1033106356
Entity TypeOrganization
Enumeration Date ? Oct 3, 2005
Last Update Date ? Mar 12, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Beaumont Wards Lane Trust

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 0160Massachusetts

legacy-id-icon Legacy Provider IDs of Beaumont Wards Lane Trust

Provider IdIssuer StateIssuer TypeIssuer
0900419MassachusettsMedicaid
225248MassachusettsMedicare Id-type Unspecified

official-icon Authorized Official of Beaumont Wards Lane Trust

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Beaumont Wards Lane Trust's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Gary Sacon
Authorized Official Title/PositionCFO
Authorized Official Phone Number508-898-3490