NPI 1093702664

Lange Rest Homes

Organisation Custodial Care Facility Worcester, MA

Practice location

Address: 572 Burncoat St, Worcester, MA 01605
Phone: (508) 755-6404
Fax: (508) 753-8770

Authorised official

Name: William John Lange
Title: Administrator
Phone: (508) 755-6404

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 830 (MA)

Other Custodial Care Facility providers in Massachusetts →

Registry record

NPI: 1093702664
Entity type: Organization
NPI issued: 29 Sep 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.