NPI | 1417347170 |
---|---|
Doing Business As | WEST REVERE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ELI FISCH Director Of Vendor Relations 732-710-4431 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0864) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2015-02-02 |