Whalio Doctors

NPI 1003815564

Autumn Village LLC

Organisation Skilled Nursing Facility Worcester, MA

Practice location

Address
25 Oriol Dr, Worcester, MA 01605-1911
Phone
(508) 852-3330
Fax
(508) 595-1008

Authorised official

Name
Sean D'Urso
Title
Owner
Phone
(508) 852-3330

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0713 (MA)

Registry record

NPI
1003815564
Entity type
Organization
NPI issued
18 Jul 2005
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.